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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

77 years old

2.2.Weight

Weight

60 kg

2.3.Height

Height

1.60 m

2.4.BMI

BMI

23.44 kg/m2

2.5.Degree of education

Degree of education

Primary school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

None

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

151 mmHg

Systolic pressure T2

141 mmHg

Systolic pressure T3

131 mmHg

Systolic pressure T4

137 mmHg

Systolic pressure T5

137 mmHg

Systolic pressure T6

130 mmHg

Systolic pressure T7

131 mmHg

Systolic pressure T8

124 mmHg

Systolic pressure T9

126 mmHg

Systolic pressure T10

133 mmHg

Systolic pressure T11

133 mmHg

Systolic pressure T12

136 mmHg

Systolic pressure T13

118 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

76 mmHg

Diastolic pressure T2

72 mmHg

Diastolic pressure T3

72 mmHg

Diastolic pressure T4

76 mmHg

Diastolic pressure T5

76 mmHg

Diastolic pressure T6

73 mmHg

Diastolic pressure T7

76 mmHg

Diastolic pressure T8

72 mmHg

Diastolic pressure T9

77 mmHg

Diastolic pressure T10

74 mmHg

Diastolic pressure T11

73 mmHg

Diastolic pressure T12

74 mmHg

Diastolic pressure T13

68 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

113 mmHg

Mean arterial pressure T2

95 mmHg

Mean arterial pressure T3

91 mmHg

Mean arterial pressure T4

83 mmHg

Mean arterial pressure T5

83 mmHg

Mean arterial pressure T6

103 mmHg

Mean arterial pressure T7

106 mmHg

Mean arterial pressure T8

101 mmHg

Mean arterial pressure T9

100 mmHg

Mean arterial pressure T10

105 mmHg

Mean arterial pressure T11

93 mmHg

Mean arterial pressure T12

94 mmHg

Mean arterial pressure T13

96 mmHg

3.4.Heart rate

Heart rate T1

72 times/min

Heart rate T2

76 times/min

Heart rate T3

77 times/min

Heart rate T4

73 times/min

Heart rate T5

73 times/min

Heart rate T6

66 times/min

Heart rate T7

63 times/min

Heart rate T8

60 times/min

Heart rate T9

60 mmHg

Heart rate T10

60 times/min

Heart rate T11

60 times/min

Heart rate T12

60 times/min

Heart rate T13

62 times/min

3.5.Respiratory rate

Respiratory rate T1

16 times/min

Respiratory rate T2

20 times/min

Respiratory rate T3

21 times/min

Respiratory rate T4

14 times/min

Respiratory rate T5

14 times/min

Respiratory rate T6

18 times/min

Respiratory rate T7

15 times/min

Respiratory rate T8

13 times/min

Respiratory rate T9

15 times/min

Respiratory rate T10

9 times/min

Respiratory rate T11

11 times/min

Respiratory rate T12

10 times/min

Respiratory rate T13

12 times/min

3.6.Oxygen saturation

Oxygen saturation T1

97 %

Oxygen saturation T2

96 %

Oxygen saturation T3

97 %

Oxygen saturation T4

97 %

Oxygen saturation T5

97 %

Oxygen saturation T6

95 %

Oxygen saturation T7

96 %

Oxygen saturation T8

97 %

Oxygen saturation T9

97 %

Oxygen saturation T10

99 %

Oxygen saturation T11

94 %

Oxygen saturation T12

95 %

Oxygen saturation T13

96 %

3.7.BIS

BIS T1

98

BIS T2

96

BIS T3

97

BIS T4

96

BIS T5

97

BIS T6

94

BIS T7

97

BIS T8

97

BIS T9

96

BIS T10

98

BIS T11

98

BIS T12

98

BIS T13

96

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L2-3

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

62 min

4.7.Time-on

Time-on

11:33

4.8.End time

End time

12:35

4.9.Departure time

Departure time

12:43

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

20

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

27

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

26

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

29

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