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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

77 years old

2.2.Weight

Weight

70 kg

2.3.Height

Height

1.70 m

2.4.BMI

BMI

24.22 kg/m2

2.5.Degree of education

Degree of education

Primary school

2.6.ASA

ASA

2.7.Underlying disease

Underlying disease

Diabetes

3.Intraoperative indicators
3.1.Systolic pressure

Systolic pressure T1

176 mmHg

Systolic pressure T2

163 mmHg

Systolic pressure T3

155 mmHg

Systolic pressure T4

152 mmHg

Systolic pressure T5

156 mmHg

Systolic pressure T6

149 mmHg

Systolic pressure T7

157 mmHg

Systolic pressure T8

147 mmHg

Systolic pressure T9

144 mmHg

Systolic pressure T10

158 mmHg

Systolic pressure T11

150 mmHg

Systolic pressure T12

150 mmHg

Systolic pressure T13

160 mmHg

3.2.Diastolic pressure

Diastolic pressure T1

88 mmHg

Diastolic pressure T2

75 mmHg

Diastolic pressure T3

72 mmHg

Diastolic pressure T4

73 mmHg

Diastolic pressure T5

74 mmHg

Diastolic pressure T6

72 mmHg

Diastolic pressure T7

71 mmHg

Diastolic pressure T8

79 mmHg

Diastolic pressure T9

69 mmHg

Diastolic pressure T10

70 mmHg

Diastolic pressure T11

76 mmHg

Diastolic pressure T12

71 mmHg

Diastolic pressure T13

74 mmHg

3.3.Mean arterial pressure

Mean arterial pressure T1

108 mmHg

Mean arterial pressure T2

104 mmHg

Mean arterial pressure T3

99 mmHg

Mean arterial pressure T4

99 mmHg

Mean arterial pressure T5

101 mmHg

Mean arterial pressure T6

97 mmHg

Mean arterial pressure T7

99 mmHg

Mean arterial pressure T8

92 mmHg

Mean arterial pressure T9

94 mmHg

Mean arterial pressure T10

80 mmHg

Mean arterial pressure T11

87 mmHg

Mean arterial pressure T12

80 mmHg

Mean arterial pressure T13

87 mmHg

3.4.Heart rate

Heart rate T1

65 times/min

Heart rate T2

67 times/min

Heart rate T3

56 times/min

Heart rate T4

54 times/min

Heart rate T5

54 times/min

Heart rate T6

51 times/min

Heart rate T7

51 times/min

Heart rate T8

57 times/min

Heart rate T9

52 mmHg

Heart rate T10

50 times/min

Heart rate T11

51 times/min

Heart rate T12

56 times/min

Heart rate T13

58 times/min

3.5.Respiratory rate

Respiratory rate T1

12 times/min

Respiratory rate T2

12 times/min

Respiratory rate T3

10 times/min

Respiratory rate T4

11 times/min

Respiratory rate T5

11 times/min

Respiratory rate T6

14 times/min

Respiratory rate T7

17 times/min

Respiratory rate T8

14 times/min

Respiratory rate T9

13 times/min

Respiratory rate T10

11 times/min

Respiratory rate T11

9 times/min

Respiratory rate T12

11 times/min

Respiratory rate T13

11 times/min

3.6.Oxygen saturation

Oxygen saturation T1

99 %

Oxygen saturation T2

94 %

Oxygen saturation T3

96 %

Oxygen saturation T4

98 %

Oxygen saturation T5

99 %

Oxygen saturation T6

99 %

Oxygen saturation T7

99 %

Oxygen saturation T8

100 %

Oxygen saturation T9

99 %

Oxygen saturation T10

99 %

Oxygen saturation T11

100 %

Oxygen saturation T12

96 %

Oxygen saturation T13

96 %

3.7.BIS

BIS T1

91

BIS T2

94

BIS T3

86

BIS T4

91

BIS T5

88

BIS T6

90

BIS T7

95

BIS T8

69

BIS T9

80

BIS T10

68

BIS T11

88

BIS T12

95

BIS T13

90

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

54 min

4.7.Time-on

Time-on

12:33

4.8.End time

End time

13:27

4.9.Departure time

Departure time

13:33

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

23

5.5.2.5.2.2、Postoperative day MMSE

Poseoperative day MMSE

25

5.5.2.5.2.3、Postoperative 1-day MMSE

Postoperative 1-day MMSE

26

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