EBUS Guided Transbronchial Needle Aspiration, Elderly Patients, Monitored Anesthesia Care, Sedation Complication
Conditions
Keywords
sedation, ebus guided transbronchial needle aspiration, monitored anesthesia care, elderly patients
Brief summary
The aim is to evaluate the feasibility of MFI-11, one of the comprehensive frailty tests, before EBUS-TBNA. The secondary aim is to evaluate the usefulness of MFI-11 in predicting complications in risk assessment before EBUS-TBNA.
Detailed description
Patients who will receive anesthesia are directed to the anesthesia clinic for preoperative evaluation. The primary purpose of preoperative assessment is to reduce perioperative morbidity and increase quality, reduce the cost of perioperative care, and ensure that the patient recovers as quickly as possible. In this context, the American Society of Anesthesiology (ASA) score is a classification that includes medical comorbidities. The classification system alone does not predict perioperative risks, but when combined with other factors (e.g. type of surgery, frailty) it may help predict perioperative risks. Age is not among the criteria in the ASA. In elderly patients, the indicator of decreased reserves and resulting weakness is called frailty. Frailty is considered vulnerability and functional impairment caused by a significant decline in multiple systems. Objective, repeatable, and accepted scales must be used when evaluating frailty. MFI-11 is a strong predictor of mortality and postoperative complications.
Interventions
OTHERModified Frailty Index -11
MFI-11: the parameter included in the score is history of congestive heart failure, presence of diabetes mellitus, history of chronic obstructive pulmonary disease or pneumonia, functional health status/dependence, history of hypertension, history of myocardial infarction, cardiac problems, cognitive impairment, history of transient ischemic attack or cerebrovascular accident, history of peripheral vascular disease is questioned. Patients will be monitored according to standard non-operating room anesthesia procedures.
Sponsors
Ankara Ataturk Sanatorium Training and Research Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients who underwent EBUS-TBNA under sedation * Patients aged \>65 years * ASA 1-3 patients
Exclusion criteria
* Patients who did not volunteer for the study * \< 65 years old patients * ASA \> 3 patients * Patients with psychiatric illness * Intubated patients * Patients with tracheostomy * Patients with body mass index \> 30 kg/m2 * Patients with nasal and nasopharyngeal disease * Patients with drug allergies (drugs used in anesthesia)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Fraility Index -11 | Preoperative 1 time | In elderly patients, the indicator of decreased reserves and resulting weakness is called frailty. Frailty is considered vulnerability and functional impairment caused by a significant decline in multiple systems. When evaluating frailty, objective, repeatable and accepted scales must be used. MFI-11 is a strong predictor of mortality and postoperative complications. MFI-11 is calculated by dividing the existing deficits by the total number of deficits. Each parameter is 1 point, and the MFI-11 score will be calculated by adding all the points and dividing by 11. The higher this score, the more frail the patient. As a result of studies comparing frailty, if the MFI-11 score is greater than ≥ 0.27, these patients are defined as frail. |
Countries
Turkey (Türkiye)
Outcome results
None listed