Investigators aimed to evaluate the impact of the anesthesia method and surgical procedure on the sleep patterns and sleep quality of patients undergoing posterior spinal instrumentation using the Pittsburgh Insomnia Rating Scale-20 (PIRS-20).
A total of 40 participants ASA (American Society of Anesthesiology) I-III aged 18 and over who underwent elective spinal posterior instrumentation was included. The participants were divided into two groups randomly - those with sevoflurane and remifentanil anesthesia and those with total intravenous anesthesia (TIVA) - using the closed envelope method. Participants were evaluated before and after the surgery with the PIRS-20 (surgery one month previously and postoperative 7th day) for sleep quality, VAS (Visual Analogue Scale; recorded preoperative night and postoperative first hour), pain, and State-Trait Anxiety Inventory (STAI) for anxiety (recorded preoperative night and postoperative 7th day) scores.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
40
Sevoflurane (Sevorane® liquid 100%, Abbvie Pharmaceuticals, Istanbul, Turkey) is a medication used during anesthesia. It is administered by inhalation with an anesthesia device.
Propofol is a drug used during anesthesia. It is administered intravenously using an infusion pump during surgical procedures.
Uludag University
Bursa, Nilufer, Turkey (Türkiye)
Pittsburgh Insomnia Rating Scale-20
Sleep score: Minimum value:0 Maximum value:60 Higher scores mean a worse outcome.
Time frame: Preoperative one month
Pittsburgh Insomnia Rating Scale-20
Sleep score: Minimum value:0 Maximum value:60 Higher scores mean a worse outcome.
Time frame: Postoperative seventh day
Visual Analogue Scale
Pain score: Minimum value:0 Maximum value:10 Higher scores mean a worse outcome.
Time frame: Preoperative one day
Visual Analogue Scale
Pain score: Minimum value:0 Maximum value:10 Higher scores mean a worse outcome.
Time frame: Postoperative first hour
State-Trait Anxiety Inventory
Anxiety score: Minimum value:20 Maximum value:80 Higher scores mean a worse outcome.
Time frame: Preoperative one day
State-Trait Anxiety Inventory
Anxiety score: Minimum value:20 Maximum value:80 Higher scores mean a worse outcome.
Time frame: Postoperative seventh day
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