Robotic Total Hip Arthroplasty Anesthesia Management

Anesthesia Clinical Trial

Official title:

Robotic Total Hip Arthroplasty Anesthesia Management: Retrospective Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05794282
• Other study ID #: 2023-65
• Status: Not yet recruiting
• Start date: April 1, 2023
• Est. completion date: May 15, 2023

Study information

• Verified date: March 2023
• Source: Saglik Bilimleri Universitesi Gulhane Tip Fakultesi
• Contact: Umut Kara
• Phone: +905339392399
• Email: drumutkara[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 150
• Est. completion date: May 15, 2023
• Est. primary completion date: May 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 85 Years

Eligibility

Inclusion Criteria:

• 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.

Exclusion Criteria:

• Urgent surgery

• Bilateral surgery

• Previous surgery

• Missing data and lost to follow-up in the perioperative period

Related Conditions & MeSH terms

• Anesthesia
• Hip Osteoarthritis
• Joint Diseases
• Osteoarthritis, Hip

Intervention

Procedure:
• the robot assisted total hip arthroplasty
the robot assisted total hip arthroplasty
• the conventional total hip arthroplasty
the conventional total hip arthroplasty

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Saglik Bilimleri Universitesi Gulhane Tip Fakultesi

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Time	The duration of surgical procedures	Only in surgery time, an average of 3 hours]
Secondary	Complications	Perioperative complications rates	After the end of surgery, in the first 1-month follow-up
Secondary	Hospital discharge time	Time from the beginning of the operation to the discharge of hospital	Time from discharge from PACU to discharge from hospital, an average of 96 hours