Site of Tracheal Extubation and Operating Room Efficiency During Robot-assisted Surgery
Impact of Site of Tracheal Extubation on Operating Room Efficiency During Robot-assisted Surgery: a Randomized Trial
Peking University First Hospital
218 participants
Jan 12, 2026
INTERVENTIONAL
Conditions
Summary
This study aims to evaluate the impact of different extubation strategy on the occupancy time of operating room (OR) and the incidence of adverse events and quality of recovery after robotic-assisted surgery. The investigators hypothesize that extubation in the post-anesthesia care unit (PACU) may reduce OR occupancy time without increasing adverse events or worsening quality of recovery early after robotic-assisted surgery. This strategy may enhance perioperative efficiency while maintaining clinical safety.
Eligibility
Inclusion Criteria3
- Aged ≥18 years;
- Scheduled to undergo elective robot-assisted laparoscopic surgery under general anesthesia;
- Expected tracheal extubation during daytime working hours (before 4:00 PM).
Exclusion Criteria11
- Refuse to participate in the study;
- Morbid obesity (body mass index ≥35 kg/m²);
- Preoperatively diagnosed obstructive sleep apnea, or patients with a STOP-Bang score ≥3 in combination with serum bicarbonate (HCO₃-) ≥28 mmol/L;
- Patients at high risk of difficult airway (anticipated difficult intubation and/or extubation during preoperative assessment);
- Preexisting sick sinus syndrome, severe sinus bradycardia (heart rate \< 50 beats/min), or second-degree or higher atrioventricular block without pacemaker implantation; congenital heart disease with any type of arrhythmia; or other severe cardiovascular diseases with New York Heart Association (NYHA) functional class ≥III;
- Significant pulmonary function impairment (FEV₁/FVC ratio \< 70%, and total lung capacity \[TLC\] and vital capacity \[VC\] \< 80% of predicted values);
- Severe hepatic dysfunction (Child-Pugh class C); severe renal dysfunction (estimated glomerular filtration rate \< 30 mL/min/1.73 m²); or American Society of Anesthesiologists (ASA) physical status classification ≥IV;
- Preoperative diagnoses of schizophrenia, epilepsy, Parkinson's disease, or myasthenia gravis;
- Inability to communicate due to coma, severe dementia, or language impairment;
- Planned postoperative admission to the intensive care unit;
- Any other conditions that are deemed for study participation.
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Interventions
At the end of surgery, patients will be transfered from OR to PACU with endotracheal intubation and then extubated in PACU.
At the end of surgery, patients will be extubated in OR and then transfered from OR to PACU.
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07332806