In this study, the investigators aim to reduce complications in orthopedic malignancy surgeries and to increase the quality of life of patients who will be operated on.
In the preoperative period, the participants will be taken to the block room. The participants will be monitored, standard sedation will be applied. Patients in the first group will be provided with preoperative and peroperative analgesia with an epidural catheter. The second group patient will be get no block. Afterwards, both groups will be operated under similar general anesthesia conditions. A patient-controlled analgesia device will be attached to each group of participants and their postoperative follow-up will be made.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
28
In the anesthesia preparation room, an epidutal catheter will be placed with a toue needle through the L4-5 spinal space. After induction of general anesthesia, 10 ml of 0.25% bupivacaine will be injected through the epidural catheter.Afterwards, peroperative and postoperative analgesia will be provided with epidural PCA.
Istanbul University, Faculty of Medicine
Istanbul, Fatih, Turkey (Türkiye)
RECRUITINGOpioid consumption
miligram
Time frame: 48 hours
Measurement of postoperative pain
VAS (visual analog scale) (0: no pain, 10: the worst pain imaginable)
Time frame: 48 hours
Amount of peroperative bleeding
Mililiter
Time frame: During surgery
Amount of postoperative bleeding
Mililiter
Time frame: 48 Hours
Postoperative complications
yes/no
Time frame: postoperative period up to 3 days
Intensive care unit stay
hours
Time frame: 48 hours
Hospital stay
hours
Time frame: 72 hours
Patient satisfaction
5-point Likert scale: very satisfied (= 5), satisfied (= 4), neutral (= 3), dissatisfied (= 2) and very dissatisfied (= 1)
Time frame: Will be done 3 times 1- a day after surgery 2- in the 1st week follow up after surgery 3- in the 1st month follow-up after surgery
Beck Depression Inventory (BDI)
0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression
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Time frame: Will be done 2 times 1- on pre-operative hospitalization 2- in the 1st month follow-up after surgery]