NCT07332806

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

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 218 (estimated)
• Sponsor: Peking University First Hospital · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Detailed description

Major surgeries are generally performed under general anesthesia with endotracheal tube. Intubation during anesthesia induction and extubation during anesthesia emergence are two high-risk periods associated with anesthesia-related complications. In clinical practice, extubation is performed either in the OR or in the PACU, according to local routine. Robotic-assisted surgery offers potential clinical benefits but involves high costs and limited resource availability, making operating room (OR) efficiency a critical priority. While extubation in the post-anesthesia care unit (PACU) has been suggested to improve OR turnover, evidence regarding its impact on perioperative efficiency and safety compared to standard OR extubation in robotic surgery is limited. 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 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.

Conditions

• Robotic Surgical Procedures
• Airway Extubation
• Operating Rooms
• Anesthesia Recovery Period
• Postoperative Complications

Interventions

Type	Name	Description
PROCEDURE	Extubation in post-anesthesia care unit (PACU)	At the end of surgery, patients will be transfered from OR to PACU with endotracheal intubation and then extubated in PACU.
PROCEDURE	Extubation in operating room (OR)	At the end of surgery, patients will be extubated in OR and then transfered from OR to PACU.

Timeline

• Start date: 2026-01-12
• Primary completion: 2026-04-01
• Completion: 2026-04-01
• First posted: 2026-01-12
• Last updated: 2026-01-15

Locations

1 site across 1 country: China