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.
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).
Study Type
OBSERVATIONAL
Enrollment
84
In patients undergoing a hysterectomy, an epidural catheter is placed via the L3-4 or L4-5 spinal space, followed by the application of a standardized general anesthesia protocol.
In patients undergoing hysterectomy, 15-20 mg of heavy bupivacaine is injected into the intrathecal area via the L3-4 or L4-5 spinal space, using a spinal needle. Following the removal of the spinal needle, an epidural catheter is then placed through the same opening.
Samsung Training and Research Hospital
Samsun, Samsun, Turkey (Türkiye)
The Quality of Recovery (QoR-40) score in the first 24 hours after surgery
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.
Time frame: postoperative 24 hours
A comparison of the difference in recovery quality scores between patients at the preoperative and postoperative 24th hour.
The difference between the patients' preoperative QoR-15 score and the QoR-15 score measured at the 24th hour postoperatively will be evaluated.
Time frame: postoperative 24 hours
Opioid consumption in the first 24 hours after surgery
Opioid consumption in the first 24 hours will be measured. Patients will be able to request opioids via a PCA device when their NRS score ≥3.
Time frame: postoperative 24 hours
The incidences of post-operative nausea and vomiting (PONV)
Post-operative nausea and vomiting (PONV) will be evaluated with a verbal descriptive scale. (0 = None at all, 1 = Mild nausea, 2 = Moderate nausea, 3 = Vomiting once, 4 = Vomiting more than once)
Time frame: postoperative 24 hours
NRS Score
The Numerical Rating Scale (NRS) is a frequently utilized pain screening instrument for the objective assessment of the current intensity of pain, employing a scale of 0-10. The scale ranges from zero, which represents the absence of pain, to 10, which represents the worst pain imaginable. The postoperative NRS score will be evaluated at the following time points: the first, third, sixth, twelfth, and 24th hours.
Time frame: postoperative 24 hours
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Time to first mobilization
The patients first mobilization time after the operation will be recorded.
Time frame: Up to 24 hours after surgery.
Time to discharge
he length of hospital stay will be recorded.
Time frame: Trough hospital stay, an average of 1 week