About this trial
1. Eligible patients were selected and enrolled in the study. 2. General anesthesia was induced using ciprofol in all participants, with standardized evaluation of consciousness levels during induction. 3. The patients' pain and cognition are followed up after surgery.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 18-65 years
Scheduled for elective thyroidectomy
ASA physical status classification I-II
Willing to participate and providing written informed consent
Disqualifiers
Recent use of sedatives or opioid analgesics
Severe hepatic or renal dysfunction defined as:Child-Pugh class C (score ≥10), Creatinine clearance <35 mL/min ,Requiring preoperative dialysis
Significant cardiovascular comorbidities
Body mass index ≥35 kg/m² or <18.5 kg/m²
Trial population
Patients undergoing elective thyroidectomy at Peking University Shenzhen Hospital
Trial design
Cohort
Prospective
Treatments tested in this trial
Ciprofol
DrugBeginning with an initial target plasma concentration of ciprofol at 1.2 μg/mL. Assessments of the Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scale and Bispectral Index (BIS) values are performed every minute until the patient achieves a complete anesthetic state (defined as an MOAA/S score of 0).
Treatment groups
Trial outcomes
Primary outcomes
The effect-site concentration of cipofol, when MOAAS reaches 2
The effect-site concentration of cipofol corresponding to MOAA/S score (Modified Observer's Assessment of Alertness/Sedation) of 2. (Modified Observer's Assessment of Alertness/Sedation: 5--Responds readily to name spoken in normal tone ; 4--Lethargic response to name spoken in normal tone ; 3--Responds only after name is called loudly and/or repeatedly ; 2--Responds only after mild prodding or shaking ; 1--Responds only after painful trapezius squeeze ; 0--No response after painful trapezius squeeze;)
Secondary outcomes
The effect-site concentration of cipofol, when MOAA/S reaches 0.
The effect-site concentration of cipofol corresponding to MOAA/S score (Modified Observer's Assessment of Alertness/Sedation) of 0.
Bispectral index
Bispectral Index (BIS) values corresponding to different Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scores.
The EC₅₀ and EC₉₅ of ciprofol
The EC₅₀ and EC₉₅ of ciprofol corresponding to MOAA/S scores of 2 and 0
Heart rate
Heart rate(in bpm) corresponding to different Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scores.
Sponsors and contacts
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