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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

Change the anesthesia method to general anesthesia for patients

NO

Intraoperative use of other sedative drugs

NO

Patients transferred to ICU after surgery

NO

2.Baseline
2.1.Age

Age

84 years old

2.2.Weight

Weight

63 kg

2.3.Height

Height

1.78 m

2.4.BMI

BMI

19.88 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

157 mmHg

Systolic pressure T2

154 mmHg

Systolic pressure T3

150 mmHg

Systolic pressure T4

150 mmHg

Systolic pressure T5

153 mmHg

Systolic pressure T6

148 mmHg

Systolic pressure T7

154 mmHg

Systolic pressure T8

148 mmHg

Systolic pressure T9

157 mmHg

Systolic pressure T10

158 mmHg

Systolic pressure T11

159 mmHg

Systolic pressure T12

156 mmHg

Systolic pressure T13

161 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

112 mmHg

Diastolic pressure T2

90 mmHg

Diastolic pressure T3

86 mmHg

Diastolic pressure T4

84 mmHg

Diastolic pressure T5

87 mmHg

Diastolic pressure T6

86 mmHg

Diastolic pressure T7

88 mmHg

Diastolic pressure T8

87 mmHg

Diastolic pressure T9

89 mmHg

Diastolic pressure T10

88 mmHg

Diastolic pressure T11

97 mmHg

Diastolic pressure T12

91 mmHg

Diastolic pressure T13

89 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

116 mmHg

Mean arterial pressure T2

113 mmHg

Mean arterial pressure T3

119 mmHg

Mean arterial pressure T4

106 mmHg

Mean arterial pressure T5

103 mmHg

Mean arterial pressure T6

109 mmHg

Mean arterial pressure T7

106 mmHg

Mean arterial pressure T8

101 mmHg

Mean arterial pressure T9

115 mmHg

Mean arterial pressure T10

112 mmHg

Mean arterial pressure T11

117 mmHg

Mean arterial pressure T12

121 mmHg

Mean arterial pressure T13

113 mmHg

3.4.Heart rate

Heart rate T1

77 times/min

Heart rate T2

76 times/min

Heart rate T3

78 times/min

Heart rate T4

75 times/min

Heart rate T5

74 times/min

Heart rate T6

73 times/min

Heart rate T7

72 times/min

Heart rate T8

71 times/min

Heart rate T9

71 mmHg

Heart rate T10

71 times/min

Heart rate T11

72 times/min

Heart rate T12

72 times/min

Heart rate T13

74 times/min

3.5.Respiratory rate

Respiratory rate T1

20 times/min

Respiratory rate T2

16 times/min

Respiratory rate T3

25 times/min

Respiratory rate T4

17 times/min

Respiratory rate T5

18 times/min

Respiratory rate T6

16 times/min

Respiratory rate T7

18 times/min

Respiratory rate T8

19 times/min

Respiratory rate T9

18 times/min

Respiratory rate T10

16 times/min

Respiratory rate T11

16 times/min

Respiratory rate T12

18 times/min

Respiratory rate T13

19 times/min

3.6.Oxygen saturation

Oxygen saturation T1

94 %

Oxygen saturation T2

95 %

Oxygen saturation T3

95 %

Oxygen saturation T4

97 %

Oxygen saturation T5

98 %

Oxygen saturation T6

98 %

Oxygen saturation T7

95 %

Oxygen saturation T8

98 %

Oxygen saturation T9

95 %

Oxygen saturation T10

98 %

Oxygen saturation T11

97 %

Oxygen saturation T12

96 %

Oxygen saturation T13

96 %

3.7.BIS

BIS T1

96

BIS T2

93

BIS T3

97

BIS T4

95

BIS T5

92

BIS T6

95

BIS T7

94

BIS T8

98

BIS T9

87

BIS T10

82

BIS T11

96

BIS T12

97

BIS T13

98

4.Intraoperative secondary data
4.1.Puncture space

Puncture space

L2-3

4.2.Dosage of ropivacaine

Dosage of ropivacaine

20 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

186 min

4.7.Time-on

Time-on

10:35

4.8.End time

End time

13:41

4.9.Departure time

Departure time

13:47

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

25

5.5.1.5.1.2、Postoperative day STAI-S

Postoperative day STAI-S

21

5.2.
5.5.2.5.2.1、1 day preoperative MMSE

1 day preoperative MMSE

22

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

27

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