Postoperative Complications
Conditions
Keywords
postoperative recovery, psychomotor function, measurement
Brief summary
The recovery of patients after general anaesthesia is usually estimated by using clinical signs and scores. Since there is a lack of the agreed objective methods for assessing cognitive and psychomotor recovery after general anaesthesia in ambulatory settings, the aim of this study was to evaluate three psychological tests for this purpose. Patients, who were scheduled for ambulatory gynaecological surgery, underwent 3 standard psychological tests before (T1), 15 minutes after the surgery (T2) and on discharge from the recovery room (T3). The tests used were Wechsler memory scale (test 1, working memory capacity), d2 - test (test 2, concentration endurance) and computer-based 4-choice-reaction time (4CRT, test 3, reaction time) as well as Postanesthesia Discharge Scoring System (PADSS). The same test battery was used in healthy female volunteers, all test results were compared at the different time points.
Interventions
PROCEDUREGeneral anaesthesia
Standard general anaesthesia for gynecologic surgery in patient group
Sponsors
University Medicine Greifswald
Study design
Observational model
CASE_CROSSOVER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* consecutive patients scheduled for ambulatory gynaecologic surgery * age of 18 to 60 years * a physical status I-II according to American Society of Anesthesiologists (ASA) classification * fluency in German language and the ability to perform all tests
Exclusion criteria
* chronic consume of analgesics, psychotropic drugs, sedatives or alcohol * if the ambulatory surgery lasted more than 60 minutes * if the schema of standardised general anaesthesia was changed * if the ambulatory setting was changed and the patients unexpectedly remained over night in the hospital.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 4CRT_15_min | 15 minutes after the end of surgery | Change of four choice reaction time (4CRT) at 15 minutes after surgery from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PADSS (Patient Discharge Scoring System) | Measured 60 minutes after the end of surgery | Post Anaesthetic Discharge Scoring System (PADSS) is a clinically-based, objective scoring system used to measure the home readiness of patients following day surgery. PADSS consists of six criteria: ambulation, circulation (blood pressure monitoring), nausea/vomiting, pain and surgical bleeding bleeding. Each criterion is given a score ranging from 0 to 2, maximal score is 10. Only patients who achieve a score of 9 or more are considered ready for discharge. |
Countries
Germany
Outcome results
None listed