Clinical Trials Logo

Clinical Trial Summary

122 ASA I-II patients were enrolled into the study. IV propofol, fentanyl and rocuronium were used for the induction and a total intravenous anesthesia technique for the maintenance of anesthesia. Sugammadex was given for neuromuscular blockade reversal. A multi-modal analgesic regimen was utilized. Primary outcome measures were PACU bypass rates and hospital discharge times. Secondary outcome measure was to compare discharge scoring systems for PACU bypass assessment: modified Aldrete Scoring System (mASS), White's Fast-Tracking Scoring System (WFTSS), and SPEEDS criteria


Clinical Trial Description

After obtaining hospital's ethics committee approval (University of Medical Sciences, Gülhane Training and Research Hospital- Date: 06/05/2018; No: 18/148) and written informed consents obtained from patients, 122 ASA (American Society of Anesthesiologists) physical status I-II patients, aged between 18-65 years, undergoing elective lumbar discectomy under general anesthesia were included into the study . After anesthesia application applied to all groups with the same procedure, patients were extubated after surgery. After extubation, patients were evaluated using mASS, WFTSS and SPEEDS criteria during 15 minutes with 3 min intervals. Patients who fulfilled criteria of all scoring systems were defined as eligible for PACU by-pass (fast-tracking) and transferred into phase II recovery area in the ward without observation in PACU (Group FT = Fast Track;). Ineligible patients were taken into PACU where their treatments were continued until discharge criteria were achieved (Group PACU). All patients were followed in the ward until hospital discharge. IV tramadol PCA (Patient -Controlled Analgesia; infusion rate: 4 mgh-1, bolus dose: 4mg, lock-out time: 30 min., 4 hours-limit: 30 mg), paracetamol (10 mgkg-1 IV with 6 hrs. intervals) and oral diclofenac sodium (75 mg with 8 hrs. intervals) were given in a multimodal analgesic regimen. Pain was evaluated using Visual Analogue Scale (VAS) with 2 hours intervals and IV pethidine 0.5 mgkg-1 was given as rescue analgesic throughout the study period when VAS was >3. PONV was treated using IV 4 mg ondansetron. Discharge from hospital was evaluated using Post Anesthetic Discharge Scoring System (PADSS), . Patients with a PADSS score ≥ 9 were discharged from the hospital by the escort of their relatives. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04301232
Study type Observational [Patient Registry]
Source Gulhane School of Medicine
Contact
Status Completed
Phase
Start date May 10, 2018
Completion date January 28, 2020

See also
  Status Clinical Trial Phase
Terminated NCT04117568 - The Role of Emergency Neutrophils and Glycans in Postoperative and Septic Patients
Recruiting NCT04084938 - Artery Embolization vs Operation of Benign Prostate Hyperplasia N/A
Enrolling by invitation NCT03922737 - Telehealth Following Orthopaedic Procedures N/A
Not yet recruiting NCT05248139 - Safety and Effectiveness of Drop-free Small Incision Cataract Surgery N/A
Completed NCT05596552 - Comparison of Intrathecal Dexmedetomidine Versus Fentanyl as Adjuvants to Bupivacaine on Post-operative Urinary Retention in Knee Joint Arthroscopic Surgeries Phase 4
Not yet recruiting NCT04509986 - GlobalSurg-CovidSurg Week
Completed NCT04082598 - Antibiotic Therapy in Erupted Tooth Extractions Phase 4
Completed NCT04168307 - Physiotherapy Versus Use of a New Ankle Trainer Device After Ankle Fracture Operation. N/A
Recruiting NCT02980770 - Postoperative Complications in Patients With Obesity Hypoventilation Syndrome N/A
Recruiting NCT03323619 - Impact of Anesthesia Technique on Post-operative Delirium After Transcatheter Aortic Valve Implantation
Completed NCT04268576 - Impact of an Improved Rehabilitation Program After a Scheduled Hysterectomy.
Completed NCT04620850 - Effect of Acupressure on Recovery of Bowel Function in Patients Post Cesarean Section N/A
Completed NCT05592145 - Quantifying the Venous Congestion Curve of a Tissue Oximetry Device N/A
Completed NCT03192917 - Low-energy Extracorporeal Shockwave Treatment for Patients After Radical Prostatectomy N/A
Completed NCT03230474 - a Small Dose of Naloxone,Minimize Intrathecal Morphine Side Effects N/A
Completed NCT03036072 - Delayed Rewarming for Neuroprotection in Infants Following Cardiopulmonary Bypass Surgery N/A
Recruiting NCT05269368 - Interest of Wicking for Ossicular Surgery and Myringoplasty N/A
Completed NCT04700995 - Postoperative Pain After Using NiTi Instruments N/A
Recruiting NCT06050551 - Pigtail or Chest Tube Placement After Uniportal Video-assisted Thoracoscopic Surgery N/A
Recruiting NCT04826575 - Pre-habilitation in Lung Surgery Candidates N/A