Comparison of Combined Spinal-Epidural Anesthesia and General Anesthesia with Epidural Catheter for Elective Hysterectomy: Anesthetic and Analgesic Outcomes, Patient and Surgeon Satisfaction: a Prospective Observational Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia
- Sponsor
- Samsun University
- Enrollment
- 84
- Locations
- 1
- Primary Endpoint
- The Quality of Recovery (QoR-40) score in the first 24 hours after surgery
- Status
- Completed
- Last Updated
- last year
Overview
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).
Investigators
MEHMET GÖKHAN TAFLAN
Specialist Doctor
Samsun University
Eligibility Criteria
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.
Outcomes
Primary Outcomes
The Quality of Recovery (QoR-40) score in the first 24 hours after surgery
Time Frame: 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.
Time Frame: 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 Outcomes
- The incidences of post-operative nausea and vomiting (PONV)(postoperative 24 hours)
- Time to first mobilization(Up to 24 hours after surgery.)
- Time to discharge(Trough hospital stay, an average of 1 week)
- Opioid consumption in the first 24 hours after surgery(postoperative 24 hours)
- NRS Score(postoperative 24 hours)