Anesthesiologist Workload
Conditions
Brief summary
This prospective observational cohort study aims to investigate whether the weight-based equivalent (mg/kg) of a fixed 1 g dose of tranexamic acid administered during septorhinoplasty is associated with intraoperative remifentanil titration frequency and perceived anesthesiologist workload. Although tranexamic acid is routinely given as a fixed dose, its mg/kg equivalent varies according to patient weight and may influence hemodynamic management during controlled hypotension. The primary outcome is the total number of remifentanil infusion rate adjustments during surgery. Secondary outcomes include total remifentanil consumption and postoperative anesthesiologist workload assessed using the NASA Task Load Index (NASA-TLX).
Interventions
Postoperative assessment of anesthesiologist workload using the NASA Task Load Index (raw scoring method), completed immediately after each operation by the attending anesthesiologist.
Sponsors
Istinye University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years * Elective septorhinoplasty under general anesthesia * Intraoperative administration of fixed 1 g intravenous tranexamic acid as part of routine practice * Controlled hypotension strategy applied intraoperatively * Surgery duration between 60-240 minutes * Complete intraoperative hemodynamic and drug titration records available
Exclusion criteria
* Emergency surgery * Additional major surgical procedure performed in the same session * Known coagulation disorder * Contraindication to tranexamic acid * History of thromboembolic disease * Chronic opioid use or opioid tolerance * Chronic pain syndrome * Regular use of sedatives, benzodiazepines, or CNS depressants * Severe cardiac, renal, or hepatic failure * Uncontrolled hypertension or significant arrhythmia * Preoperative hemoglobin \<10 g/dL * Major intraoperative complication * Incomplete or missing intraoperative data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative Remifentanil Titration Frequency | Intraoperative period (from induction of anesthesia to end of surgery). | Total number of intraoperative remifentanil infusion rate adjustments (each increase or decrease counted as one intervention) recorded during septorhinoplasty. |
Countries
Turkey (Türkiye)
Contacts
CONTACTilke dolgun
Outcome results
None listed