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1.Screening
1.1.Inclusion Criteria

Patients planning to undergo elective intraspinal anesthesia for prostate resection surgery

YES

Age 60 and above (including 60 years old)

YES

Body mass index (BMI) 18.5-30kg/m^2

YES

ASA grade I-III

YES

YES

1.2.Exclusion Criteria

Individuals with hearing and visual impairments

NO

BMI ≥ 30

NO

Individuals with contraindications for spinal anesthesia

NO

Severe hypertension (controlled with medication, still in stage III or above hypertension), heart failure (NYHA > II)

NO

Severe bradycardia (requiring pacemaker, <60bpm)

NO

Individuals with neurological or muscular system diseases, mental illness

NO

History of sedative, antidepressant medication use, alcoholism, and drug abuse

NO

History of severe cerebrovascular disease or complication after craniocerebral trauma (e.g., emotional disorders, language disorders)

NO

Individuals with dexmedetomidine use contraindications

NO

Individuals who are unwilling or unable to communicate

NO

1.3.Detachment Criteria

loss to follow-up

NO

Subject withdraws informed consent form

NO

Intraoperative use of other sedative drugs

NO

Change the anesthesia method to general anesthesia for patients

NO

Patients transferred to ICU after surgery

NO

2.Baseline
2.1.Age

Age

73 years old

2.2.Weight

Weight

60 kg

2.3.Height

Height

1.74 m

2.4.BMI

BMI

19.82 kg/m2

2.5.Degree of education

Degree of education

Middle school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

None

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

140 mmHg

Systolic pressure T2

139 mmHg

Systolic pressure T3

137 mmHg

Systolic pressure T4

133 mmHg

Systolic pressure T5

133 mmHg

Systolic pressure T6

130 mmHg

Systolic pressure T7

123 mmHg

Systolic pressure T8

122 mmHg

Systolic pressure T9

117 mmHg

Systolic pressure T10

116 mmHg

Systolic pressure T11

125 mmHg

Systolic pressure T12

127 mmHg

Systolic pressure T13

115 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

92 mmHg

Diastolic pressure T2

80 mmHg

Diastolic pressure T3

81 mmHg

Diastolic pressure T4

81 mmHg

Diastolic pressure T5

77 mmHg

Diastolic pressure T6

75 mmHg

Diastolic pressure T7

73 mmHg

Diastolic pressure T8

74 mmHg

Diastolic pressure T9

74 mmHg

Diastolic pressure T10

72 mmHg

Diastolic pressure T11

78 mmHg

Diastolic pressure T12

74 mmHg

Diastolic pressure T13

68 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

108 mmHg

Mean arterial pressure T2

99 mmHg

Mean arterial pressure T3

106 mmHg

Mean arterial pressure T4

100 mmHg

Mean arterial pressure T5

92 mmHg

Mean arterial pressure T6

96 mmHg

Mean arterial pressure T7

96 mmHg

Mean arterial pressure T8

87 mmHg

Mean arterial pressure T9

87 mmHg

Mean arterial pressure T10

87 mmHg

Mean arterial pressure T11

91 mmHg

Mean arterial pressure T12

88 mmHg

Mean arterial pressure T13

80 mmHg

3.4.Heart rate

Heart rate T1

78 times/min

Heart rate T2

83 times/min

Heart rate T3

73 times/min

Heart rate T4

69 times/min

Heart rate T5

70 times/min

Heart rate T6

66 times/min

Heart rate T7

61 times/min

Heart rate T8

58 times/min

Heart rate T9

57 mmHg

Heart rate T10

57 times/min

Heart rate T11

58 times/min

Heart rate T12

57 times/min

Heart rate T13

62 times/min

3.5.Respiratory rate

Respiratory rate T1

10 times/min

Respiratory rate T2

14 times/min

Respiratory rate T3

14 times/min

Respiratory rate T4

10 times/min

Respiratory rate T5

11 times/min

Respiratory rate T6

9 times/min

Respiratory rate T7

10 times/min

Respiratory rate T8

10 times/min

Respiratory rate T9

10 times/min

Respiratory rate T10

9 times/min

Respiratory rate T11

10 times/min

Respiratory rate T12

10 times/min

Respiratory rate T13

15 times/min

3.6.Oxygen saturation

Oxygen saturation T1

98 %

Oxygen saturation T2

98 %

Oxygen saturation T3

99 %

Oxygen saturation T4

100 %

Oxygen saturation T5

100 %

Oxygen saturation T6

100 %

Oxygen saturation T7

100 %

Oxygen saturation T8

100 %

Oxygen saturation T9

100 %

Oxygen saturation T10

100 %

Oxygen saturation T11

100 %

Oxygen saturation T12

100 %

Oxygen saturation T13

100 %

3.7.BIS

BIS T1

97

BIS T2

98

BIS T3

96

BIS T4

96

BIS T5

95

BIS T6

88

BIS T7

83

BIS T8

81

BIS T9

84

BIS T10

97

BIS T11

93

BIS T12

98

BIS T13

97

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L3-4

4.2.Dosage of ropivacaine

Dosage of ropivacaine

18 mg

4.3.Sensory blockade plane

Sensory blockade plane

T10

4.4.Improved Bromage score

Improved Bromage score

3

4.5.

A-VAS

0

4.6.Operation duration

Operation duration

124 min

4.7.Time-on

Time-on

14:08

4.8.End time

End time

16:12

4.9.Departure time

Departure time

16:18

4.10.Total dosage of dexmedetomidine

Total dosage of dexmedetomidine

0 mg

4.11.Satisfaction
4.4.11.4.11.1、Operator satisfaction

Operator satisfaction

5

4.4.11.4.11.2、Patient satisfaction

Patient satisfaction

5

4.12.Special circumstances during surgery
4.4.12.4.12.1、Physical movement

Physical movement

NO

4.4.12.4.12.2、Hypoxemia

Hypoxemia

NO

4.4.12.4.12.3、Bradycardia

Bradycardia

NO

5.Follow-up
5.1.
5.5.1.5.1.1、1 day preoperative STAI-S

1 day preoperative STAI-S

21

5.5.1.5.1.2、Postoperative day STAI-S

Postoperative day STAI-S

20

5.2.
5.5.2.5.2.1、1 day preoperative MMSE

1 day preoperative MMSE

29

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

28

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

30

5.3.Postoperative adverse reactions
5.5.3.5.3.1、Nausea

Nausea

NO

5.5.3.5.3.2、Vomit

Vomit

NO

5.5.3.5.3.3、Dizzy

Dizzy

NO

5.5.3.5.3.4、Headache

Headache

NO

5.5.3.5.3.5、Respiratory suppression

Respiratory suppression

NO