Acute Pain, Analgesia, Anesthesia
Conditions
Keywords
quality of recovery-15, opioid consumption, acute pain scores
Brief summary
The objective of this study is to evaluate the results of different anesthesia methods (general anesthesia with epidural catheter application and spinal anesthesia with epidural catheter application) applied in elective hysterectomy surgeries performed in our hospital. The aim is to compare the advantages of both methods.
Detailed description
The study was designed as a prospective observational study. The researchers participating in the study were not involved in administering any medications to the patients. A review of the patient records will result in the creation of two differentiated groups according to the anesthesia method administered: Group 1 will include patients who underwent general anesthesia with an epidural catheter, while Group 2 will include patients who underwent spinal anesthesia with an epidural catheter. The quality of recovery score will be evaluated using a 15-question scale both preoperatively and postoperatively. The researchers will evaluate quality of recovery using the 15-item Quality of Recovery scale (QoR-15).
Interventions
PROCEDUREGroup 1
In patients undergoing a hysterectomy, an epidural catheter is placed via the L3-4 or L4-5 spinal space, followed by the application of a standardized general anesthesia protocol.
PROCEDUREGroup 2
In patients undergoing hysterectomy, 15-20 mg of heavy bupivacaine is injected into the intrathecal area via the L3-4 or L4-5 spinal space, using a spinal needle. Following the removal of the spinal needle, an epidural catheter is then placed through the same opening.
Sponsors
Samsun University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients scheduled for elective hysterectomy * Patients with The American Society of Anaesthesiologists (ASA) physical status class1-2-3 * Those who are literate enough to answer the compilation quality of recovery score (QoR-15) questionnaire
Exclusion criteria
* Patients with contraindications for neuraxial anesthesia * Patients with The American Society of Anaesthesiologists (ASA) physical status score above 3 * The presence of another malignant neoplasm, other than the indication for hysterectomy, * Patients with substance abuse disorders, including alcohol and drug addiction * Patients who do not consent to or desire to be included in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The Quality of Recovery (QoR-40) score in the first 24 hours after surgery | postoperative 24 hours | The recovery quality of patients will be assessed with the Quality of Recovery Score-15 (QoR-15), which will be administered at the 24th hour postoperatively. The QoR-15 is a questionnaire comprising 15 items, with each item scored on a scale of 0 to 10. The total score on the QoR-15 ranges between 0 and 150. |
| A comparison of the difference in recovery quality scores between patients at the preoperative and postoperative 24th hour. | postoperative 24 hours | The difference between the patients' preoperative QoR-15 score and the QoR-15 score measured at the 24th hour postoperatively will be evaluated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| NRS Score | postoperative 24 hours | The Numerical Rating Scale (NRS) is a frequently utilized pain screening instrument for the objective assessment of the current intensity of pain, employing a scale of 0-10. The scale ranges from zero, which represents the absence of pain, to 10, which represents the worst pain imaginable. The postoperative NRS score will be evaluated at the following time points: the first, third, sixth, twelfth, and 24th hours. |
| Opioid consumption in the first 24 hours after surgery | postoperative 24 hours | Opioid consumption in the first 24 hours will be measured. Patients will be able to request opioids via a PCA device when their NRS score ≥3. |
| Time to discharge | Trough hospital stay, an average of 1 week | he length of hospital stay will be recorded. |
| Time to first mobilization | Up to 24 hours after surgery. | The patients first mobilization time after the operation will be recorded. |
| The incidences of post-operative nausea and vomiting (PONV) | postoperative 24 hours | Post-operative nausea and vomiting (PONV) will be evaluated with a verbal descriptive scale. (0 = None at all, 1 = Mild nausea, 2 = Moderate nausea, 3 = Vomiting once, 4 = Vomiting more than once) |
Countries
Turkey (Türkiye)
Outcome results
None listed