Frailty, Knee Arthropathy, Opioid Use
Conditions
Brief summary
The FRAIL scale will be applied to patients at the preoperative visit. According to the FRAIL Scale, patients will be divided into 3 groups as Non-frail (Group I), pre-frail (Group II) and frail (Group III). After routine preoperative preparation and monitoring, patients will be given spinal anesthesia. Demographic data and intraoperative data of the patients will be recorded. Patients will be transferred to the post-operational post-operative care unit (PACU) and patient-controlled analgesia (PCA) will be applied to each patient with a standard protocol. In the postoperative period, the need for analgesics will be recorded for 24 hours, and if additional analgesics are needed, they will be recorded. Pain scores of the patients will be evaluated for 24 hours.
Interventions
DEVICEPatient-controlled analgesia pump (PCA)
Each patient will receive a PCA pump with intravenous (i.v.) morphine.
Sponsors
Selcuk University
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)
Intervention model description
Groups will be determined according to frailty status.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients who will undergo unilateral, primary total knee arthroplasty * Patients who will be operated with spinal anesthesia
Exclusion criteria
* Patients with ASA IV and above physical status * Uncooperative patients * Patients who do not speak Turkish * Patients on routine opioid use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Opioid consumption | Postoperative 24th hour | Total opioid consumption (24 hours) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog pain scores (VAS) | 6,12 and 24 hours | VAS scores will evaluate at rest and during 45° active knee flexion |
| Nausea and vomiting questionnaire | Postoperative for 24 hours | Postoperative nausea and vomiting will be evaluated by asking the patient whether she/he has had nausea and vomiting for 24 hours. |
Countries
Turkey (Türkiye)
Outcome results
None listed