The Effect of Two Different Modes of Anaesthesia Mainantance on Postoperative Delirium

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

84 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-03-01

Study Completion Date

2023-11-01

Brief Summary

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In this study, the cognitive status of the patients in the preoperative period was taken into consideration and the development of delirium after the surgery was investigated. There is no harm to the patient.

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Detailed Description

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The patients were preoperatively assessed for American Society of Anesthesiologists (ASA) risk by an anesthetist and age, sex and comorbidities were recorded. The Mini-cog test was applied as a cognitive screening test by the anesthesiologist in the preoperative period and the test score was recorded. Three-word memory test, clock drawing, and visual function test was performed to evaluate the patient's cognitive functions. In this test, patients were asked to memorize three words such as umbrella, sunshine, and chair at the beginning of the test.

Conditions

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Cognitive Dysfunction, Cognitive Disorder Delirium - Postoperative

Study Design

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Observational Model Type

OTHER

Study Time Perspective

PROSPECTIVE

Study Groups

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group s

Patients receiving sevoflurane

Sevoflurane

Intervention Type PROCEDURE

Depending on the anesthesia maintenance protocol, total intravenous anesthesia (TIVA) or sevoflurane anesthesia, patients were divided into group T (TIVA) and group S (sevoflurane).

Group p

Patients receiving propofol-based total intravenous anesthesia

Sevoflurane

Intervention Type PROCEDURE

Depending on the anesthesia maintenance protocol, total intravenous anesthesia (TIVA) or sevoflurane anesthesia, patients were divided into group T (TIVA) and group S (sevoflurane).

Interventions

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Sevoflurane

Depending on the anesthesia maintenance protocol, total intravenous anesthesia (TIVA) or sevoflurane anesthesia, patients were divided into group T (TIVA) and group S (sevoflurane).

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* There was a correlation between the incidence of delirium after the age of 60(10).

Exclusion Criteria

* Patients' age\< 60 years,
* Patients undergoing emergency cholecystectomy or did not have preoperative Mini-Cog assessment,
* With a history of cerebrovaskuler insult that was thought to have an effect on postoperative delirium ,
* Patients with difficulty in cooperation ,
* Patients with hemodynamic instability(arterial blood pressure above 160/90 mmHg and below 90/60 mmHg and patients with pulse rate below 50/min and above 100/min) ,
* Patients with previously diagnosed dementia, and those who had surgical procedures lasting more than 2 hours were excluded from the study.

Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes