The aim of this study is to investigate the effect of these two different intravenous infusion techniques \[manuel controlled infusion (MCI) and Target controlled Infusion( TCI)\] on POCD. To assess POCD, the Mini Mental State Examination (MMSE ) and the Montreal Cognitive Assessment (MoCA ) will be used. MoCA and MMSE have high sensitivity and specificity for identifying patients with mild cognitive impairment who perform within the normal range. In a study by Meng et al., comparing target-controlled infusion and manual infusion of propofol anesthesia during electroconvulsive therapy, the randomized, controlled trial showed no significant difference in postelectroconvulsive therapy changes in MoCA scores in either group; however, they reported improvement in MoCA scores after 6 electroconvulsive therapy treatments in the MCI group, while deterioration occurred in the TCI group. Researchers found no studies investigating the effects of both infusion methods in spinal surgery and their impact on cognitive function, and they planned to evaluate the effects of the groups in their study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
NONE
Enrollment
128
infusion via manually controlled infusion pumps
Bursa yüksek ihtisas eğitim ve araştırma hastanesi BURSA, Bursa, Türkiye, BURSA, Bursa 16310, BURSA, Bursa
Bursa, Bursa, Turkey (Türkiye)
Post-Operative Cognitive Dysfunction
Montreal Cognitive Assessment (MoCA) scores Normally accepted threshold values: A score of 26 or higher on the MoCA (Montreal Cognitive Assessment) test For cognitive impairment: A decrease of at least 1-2 points on the MoCA is considered significant.
Time frame: preoperatively and 24 hours postoperatively at the patient's bedside
Evaluation of intraoperative anaesthezic consumption
total propofol and total remifentanil
Time frame: intraoperatıve
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