Insomnia and Wake up and Recovery From Anesthesia
Study Details
Study Description
Brief Summary
18-55 years old 100 patients, who are planned to undergo for planned ureteroscopy will be participated in the study. In the preoperative room patients will be asked to participate to the study. If they accept 4 item Jenkins-Sleep Questionaire will be asked to them.Patients will be divided to two groups , with or without insomnia according to their answers to the questionaire. General anesthesia will be performed to all patients. At the end of operation anesthesia time,operation time, time of eye opening, time of transfer to the recovery room will be recorded in the operating room. Pain scores and recovery scores will be evaluated in the recovery room.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
18-55 years old 100 patients with American Society of Anesthesiology (ASA) physical status I-II,who are planned to undergo for elective ureteroscopy will be participated in this study.In the preoperative room patients will be asked to participate to the study and will be asked to answer the 4-item Jenkins-Sleep Questionaire.If they accept to participate, written informed consent will be taken from the patients. According to their answers to the questionaire , patients will be divided into two groups :those with or without insomnia.General anesthesia will be performed to all patients. After anesthesia induction with propofol 2mg/kg and rocuronium 0.6 mg/kg, patients will be ıntubated and mechanically ventilated. Maintenance of anesthesia will be achieved with 4-6 % desflurane in nitrous oxide/ oxygen (50%/50%) concentrations with the flow 5L/min. Tramadol 1 mg/kg and metoclopramid 1 ampul will be administered intravenously after intubation. Hemodynamic parameters( systolic blood pressure, diastolic blood pressure, heart rate and peripheral oxygen saturation), end tidal carbon dioxide values, the concentrations of inspired and exhaled desflurane will be recorded on the surgery start time and on the 5th, 15th,25th,35th,45th,60 th minutes of surgery. At the end of operation ,neuromuscular blockage will be reversed with neostigmine (0,05 mg/kg)and atropine sulphate 0,015 mg/kg i.v. Anesthesia time, surgery time, time of eye opening,time of transfer to the recovery room will be recorded in the operating room. In the recovery room pain score will be evaluated with Visual Analogue Scale. Modified Aldrete Recovery Score will be used for evaluating recovery.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Patients with insomnia In the preoperative room patients will be asked to participate to the study and will be asked to answer the 4-item Jenkins-Sleep Questionaire.If they accept to participate, written informed consent will be taken from the patients. According to their answers to the questionaire , patients will be divided into two groups :those with or without insomnia. |
|
| Patients without insomnia In the preoperative room patients will be asked to participate to the study and will be asked to answer the 4-item Jenkins-Sleep Questionaire.If they accept to participate, written informed consent will be taken from the patients. According to their answers to the questionaire , patients will be divided into two groups :those with or without insomnia. |
Outcome Measures
Primary Outcome Measures
- Time of eye opening [up to 15 minutes]
from the time anesthesia was discontinued and neuromuscular blockage was reversed to the time of eye opening
- Time of transpher to the postoperative care unit [up to 25 minutes]
from the time anesthesia was discontinued and neuromuscular blockage was reversed to the time of transpher to the postoperative care unit
- Recovery scores [during 1 hour at postoperative period]
Modified Aldrete Recovery Score
Secondary Outcome Measures
- Pain scores [during 1 hour at postoperative period]
Visual analogue scale
Eligibility Criteria
Criteria
Inclusion Criteria:
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18- 55 years
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ASA 1-2 patients
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Patients undergoing elective ureteroscopy
Exclusion Criteria:
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Renal failure
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Obstructive Sleep Apnea Syndrome,
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Thyroid dysfunction
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Neurologic and physiatric dysfunctions,
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Morbid obesity
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Anticonvulsant, antidepressant, anxiolytic drugs usage
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Tuna Şahin | Adana | Turkey |
Sponsors and Collaborators
- Adana City Training and Research Hospital
Investigators
- Principal Investigator: Tuna Şahin, Adana City Training and Research Hospital