Effect of anesthesia information before surgery in neurosurgical patients.

Phase 2/3

Completed

Conditions: Disorder of central nervous system, unspecified,

Registration Number: CTRI/2022/06/043327

Lead Sponsor: AIIMS

Brief Summary: There has been an increased interest on the patientâ€™s perioperative course to improve overall outcome while undergoing surgery under general anesthesia. Hospitalization is a painful process which disturbs the physical and psychological wellbeing of the patient. [1] Studies have shown that lack of preparation for surgery, postoperative symptomology, and negative thoughts and beliefs are significantly associated with psychiatric morbidities. [2] Keeping this in mind many enhanced recovery after surgery [ERAS] protocol for various surgical procedures have been introduced in the past. [3-8] Preoperative counselling has been part of many of these ERAS protocols, but little has been discussed about it in detail as to how counselling can improve patients experience during perioperative period. Anesthesia being an integral part of any surgical procedure, its preoperative counselling has never been part of any of these ERAS protocols. It is forlorn to find that apart from surgical counselling, this additional counselling has been given less importance. According to World health Organization [WHO] Global Health Estimate, tens of millions of patients undergo general anesthesia (GA) across the world every year. [9] That makes it more important to emphasise that preoperative anesthesia counselling should be done in every patient who undergoes surgery under general anesthesia. This study aims to evaluate the effect of preoperative counselling regarding anesthesia technique and its impact on postoperative recovery.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 50

Inclusion Criteria

1.Adult patients [18-65 years] undergoing 2-3 level thoracolumbar spinal fusion surgery 2.Written informed consent 3.American Society of Anesthesiologists class I&II 4.Age of >18 years 5.Either gender 6.Spine pathologies undergoing 2-3 level thoracolumbar spinal fusion surgery 7.Full Glasgow coma score (E4V5M6) 8.Estimated operative time of â‰¤ 6 hours and anesthesia time of â‰¤ 8 hours.

Exclusion Criteria

1.Non consenting patient 2.Mini-Mental State Examination [MMSE] <24 3.Any history of previous brain surgery 4.Current or past history of any cardiac disease or medication 5.Any history of lung disease, liver or kidney dysfunction 6.Body mass index of > 35 kg/m2 7.Preoperative cognitive dysfunction.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1.Time to emergence [from discontinuation of anesthetics to eye opening on command in minutes]	At the end of surgery.
2.Extubation time [from discontinuation of anesthetics to tracheal extubation in minutes]	At the end of surgery.

Secondary Outcome Measures

Name	Time	Method
1.Postoperative delirium [assessed using CAM-ICU]	60 minutes after extubation
2.Postoperative early cognitive dysfunction [assessed using MMSE]	60 minutes after extubation
3.Patients satisfaction score [6-point Likert scale with a score ranging from 0 to 5]	60 minutes after extubation