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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

82 years old

2.2.Weight

Weight

55 kg

2.3.Height

Height

1.62 m

2.4.BMI

BMI

20.96 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

166 mmHg

Systolic pressure T2

147 mmHg

Systolic pressure T3

164 mmHg

Systolic pressure T4

157 mmHg

Systolic pressure T5

161 mmHg

Systolic pressure T6

149 mmHg

Systolic pressure T7

154 mmHg

Systolic pressure T8

152 mmHg

Systolic pressure T9

153 mmHg

Systolic pressure T10

165 mmHg

Systolic pressure T11

159 mmHg

Systolic pressure T12

167 mmHg

Systolic pressure T13

157 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

94 mmHg

Diastolic pressure T2

88 mmHg

Diastolic pressure T3

94 mmHg

Diastolic pressure T4

94 mmHg

Diastolic pressure T5

96 mmHg

Diastolic pressure T6

90 mmHg

Diastolic pressure T7

96 mmHg

Diastolic pressure T8

91 mmHg

Diastolic pressure T9

90 mmHg

Diastolic pressure T10

93 mmHg

Diastolic pressure T11

92 mmHg

Diastolic pressure T12

94 mmHg

Diastolic pressure T13

91 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

120 mmHg

Mean arterial pressure T2

117 mmHg

Mean arterial pressure T3

127 mmHg

Mean arterial pressure T4

120 mmHg

Mean arterial pressure T5

127 mmHg

Mean arterial pressure T6

123 mmHg

Mean arterial pressure T7

128 mmHg

Mean arterial pressure T8

126 mmHg

Mean arterial pressure T9

123 mmHg

Mean arterial pressure T10

123 mmHg

Mean arterial pressure T11

118 mmHg

Mean arterial pressure T12

118 mmHg

Mean arterial pressure T13

113 mmHg

3.4.Heart rate

Heart rate T1

74 times/min

Heart rate T2

80 times/min

Heart rate T3

81 times/min

Heart rate T4

78 times/min

Heart rate T5

74 times/min

Heart rate T6

72 times/min

Heart rate T7

74 times/min

Heart rate T8

70 times/min

Heart rate T9

68 mmHg

Heart rate T10

69 times/min

Heart rate T11

68 times/min

Heart rate T12

69 times/min

Heart rate T13

70 times/min

3.5.Respiratory rate

Respiratory rate T1

8 times/min

Respiratory rate T2

13 times/min

Respiratory rate T3

12 times/min

Respiratory rate T4

12 times/min

Respiratory rate T5

10 times/min

Respiratory rate T6

9 times/min

Respiratory rate T7

12 times/min

Respiratory rate T8

19 times/min

Respiratory rate T9

16 times/min

Respiratory rate T10

15 times/min

Respiratory rate T11

8 times/min

Respiratory rate T12

9 times/min

Respiratory rate T13

9 times/min

3.6.Oxygen saturation

Oxygen saturation T1

100 %

Oxygen saturation T2

98 %

Oxygen saturation T3

99 %

Oxygen saturation T4

98 %

Oxygen saturation T5

98 %

Oxygen saturation T6

99 %

Oxygen saturation T7

98 %

Oxygen saturation T8

98 %

Oxygen saturation T9

98 %

Oxygen saturation T10

9 %

Oxygen saturation T11

897 %

Oxygen saturation T12

97 %

Oxygen saturation T13

98 %

3.7.BIS

BIS T1

85

BIS T2

94

BIS T3

90

BIS T4

95

BIS T5

96

BIS T6

85

BIS T7

90

BIS T8

90

BIS T9

85

BIS T10

88

BIS T11

87

BIS T12

88

BIS T13

84

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

63 min

4.7.Time-on

Time-on

12:30

4.8.End time

End time

13:37

4.9.Departure time

Departure time

13:43

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

22

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

28

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

28

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