Robotic Total Hip Arthroplasty Anesthesia Management: Retrospective Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 150
- 主要终点
- Time
研究概览
简要总结
Robotic arthroplasty is increasing in acceptance on a global scale as a result of advancements in orthopedic surgery technology. The investigators aimed to share their anesthesia management experience as well as compare robotic unilateral total hip arthroplasty with conventional surgical technique in this retrospective study.
详细描述
This study was conducted after obtaining ethics committee approval.
The inclusion criteria were as follows: American Society of Anesthesiologists (ASA) physical status I-III patients between 40-85 years, elective unilateral THAs which were performed by a single senior orthopedic surgeon and orthopedic team between January 2021 and January 2023 under CSEA. Exclusion criteria were urgent surgery, bilateral surgery, previous surgery, missing data, and lost to follow-up in the perioperative period.
The routine anesthetic protocol for the TKA was as follows: A single dose of 0.5% hyperbaric bupivacaine between 15-10 mg was administered intratechally. Following this the epidural catheter was inserted 4 cm into the epidural space through the epidural needle and secured. The level of the sensory block was assessed using pin-prick and cold sensation tests, and motor block using the Bromage scale. The patients were followed in the postanesthesia care unit (PACU) after the surgery. Patients with a modified Aldrete scoring system ≥9 were considered to be eligible for the transfer from PACU to the service.
Pain was evaluated using a Visual Analogue Scale (VAS) with regular intervals. Data were collected from hospital's electronic database records, patient files, and anesthesia charts.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 40 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists (ASA) physical status I-III
- •Between 40-85 years
- •Elective unilateral THAs which were performed by a single senior orthopedic surgeon
- •Between January 2021 and January 2023 under CSEA.
排除标准
- •Urgent surgery
- •Bilateral surgery
- •Previous surgery
- •Missing data and lost to follow-up in the perioperative period
结局指标
主要结局
Time
时间窗: Only in surgery time, an average of 3 hours]
The duration of surgical procedures
次要结局
- Hospital discharge time(Time from discharge from PACU to discharge from hospital, an average of 96 hours)
- Complications(After the end of surgery, in the first 1-month follow-up)
研究者
Umut Kara
Associate Professor
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi