Use of Regional Anesthesia and Analgesia Techniques in Obese Patients: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- The difficulty of block performance
研究概览
简要总结
Obesity is a health problem throughout the world and has increasingly become a widespread epidemic all over the world and also in Turkey. Anesthesia management of obese patients is challenging because of difficult airway, increased drug doses, co-morbidities, loss of anatomical landmarks and difficulties in positioning.
Neuroaxial and peripheral nerve blocks are widely used in anesthesia practice in both obese and non-obese patients undergoing different surgical operations.
In this prospective observational study, the investigators plan to enroll all patients that are applied neuroaxial or peripheral blocks during the study period. The aim of this study is to compare the differences and difficulties of regional anesthesia/analgesia techniques in obese and non-obese patients.
详细描述
Obesity is a health problem throughout the world and has increasingly become a widespread epidemic all over the world and also in Turkey. Anesthesia management of obese patients is challenging because of difficult airway, increased drug doses, co-morbidities, loss of anatomical landmarks and difficulties in positioning.
On the other hand, neuroaxial and peripheral nerve blocks are widely used in anesthesia practice in both obese and non-obese patients undergoing different surgical operations.
In this prospective observational study, the investigators plan to enroll all patients that are applied neuroaxial or peripheral blocks during the study period. The difficulty of block performance, its relationship with experience, the requirement of changing hands with more experienced clinician, the requirement of changing patient position, regional anesthesia approach or needle (size and length), the requirement of adding rescue block, block success, performance duration, the number of needle direction (multiple attempts), the requirement of changing anesthesia or analgesia technique (conversion to general anesthesia), the requirement of adding another block monitorisation technique, adverse effect/complication, patient satisfaction and patient's request for a similar technique next time are all recorded both in obese and non-obese patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Crossover
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients eligible for regional anesthesia/analgesia
- •> 18 years old
排除标准
- •< 18 years old
- •Patient refusal for regional anesthesia/analgesia
- •Patient refusal to participate in the study
- •Allergic to local anesthetics
- •Psychiatric diseases
- •Incapable to communicate
结局指标
主要结局
The difficulty of block performance
时间窗: through the block performance, within 5-10 minutes
0: easy, 1: difficult, 2: very difficult
次要结局
- The experience of the anesthesiologist(through the Anesthesiology residency training period, within 5 years and Anesthesiology experience, within 20 years)
- The requirement of changing patient position(through the block performance, within 5-10 minutes)
- The requirement of adding rescue block(through the block performance, within 5-10 minutes)
- The number of needle direction(through the block performance, within 5-10 minutes)
- The requirement of adding another block monitorization technique(through the block performance, within 5-10 minutes)
- Patient satisfaction(1 week)
- The requirement of changing hands with a more experienced anesthesiologist(through the block performance, within 5-10 minutes)
- The requirement of changing regional anesthesia/analgesia approach(through the block performance, within 5-10 minutes)
- Block performance duration(0-30 minutes)
- The requirement of conversion to general anesthesia(through the block performance, within 5-10 minutes)
- The requirement of changing needle size or length(through the block performance, within 5-10 minutes)
- Adverse effect/complication rate(1 week)
- Block success(0-30 minutes)
- Patient's request for a similar technique next time(1 week)
研究者
Emine Aysu Salviz, MD
Associate Professor
Istanbul University
