Postoperative delirium
Conditions
Interventions
Patients will be divided into 2 groups (65 patients each):
1) Balanced general anesthesia.
2) Balanced general anesthesia associated with subarachnoid block with 0.5% hyperbaric bupivacaine (3ml).
All
Procedure/surgery
Sponsors
Fundação Antônio Prudente
A.C. Camargo Cancer Center
Eligibility
Inclusion criteria
Inclusion criteria: patients from the AC Camargo Cancer Center; aged 18 years or over; American Society of Anesthesia (ASA), less than 3, submitted to elective laparoscopic surgery in a Trendelenburg position, minimum period of 2 hours and who agree to sign the free and informed consent form.
Exclusion criteria
Exclusion criteria: Absolute contraindication and related to spinal anesthesia; with difficult airway prediction with possibility of awake intubation; With previous diagnosis of: cognitive disorder and / or depression; chronic use of benzodiazepines (use during the last 12 weeks); referred to perform the postoperative ICU; with diagnosis of anemia (Hemoglobin G3a (glomerular filtration rate 30 kg / m2);with history of nausea / vomiting in previous anesthetic procedures; with diagnosis of malignant hyperthermia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative delirium with general anesthesia + spinal morphine. Delirium assessed by CAM scale Confusion Assemenment Method) e RASS (Richmond Agitation Sedation Scale );Incidence of postoperative delirium with general anesthesia + subarachnoid block. Delirium assessed by CAM scale Confusion Assemenment Method) e RASS (Richmond Agitation Sedation Scale ) | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are not expected | — |
Countries
Brazil
Contacts
Public ContactGiane Nakamura
Fundação Antônio Prudente
Outcome results
None listed