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The role of neuraxial anesthesia in preventing respiratory complications is a controversial in elderly patients. The aim of the study was to evaluate the benefits of neuraxial anesthesia on pulmonary function during post-operative term in geriatric patients undergoing to elective non-abdominal surgery.
Sixty elder patients will be randomly assigned to General anesthesia or Neuraxial anesthesia groups. Spirometry, will be performed at pre-operative and post-operative terms. Pulmonary function tests will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| General Anesthesia | Active Comparator | Standard General Anesthesia will be applied.The change of the pulmonary functions will be evaluated via spirometer. |
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| Neuraxial Anesthesia | Active Comparator | Neuraxial anesthesia will be applied. The change of the pulmonary functions will be evaluated via spirometer. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| General anesthesia | Procedure | induction with the intravenous anesthetic (Propofol) and maintenance with the inhalational anesthetic (Sevoflurane) |
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| Measure | Description | Time Frame |
|---|---|---|
| The changes on forced vital capacity | Forced vital capacity will be measured via spirometer | At Preoperative, postoperative 2. hours, postoperative 24. hours |
| The changes on forced expiratory volume in 1 s | Forced expiratory volume in 1 s will be measured via spirometer | At Preoperative, postoperative 2. hours, postoperative 24. hours |
| The changes on mid-expiratory flow (MEF 25-75) | mid-expiratory flow (MEF 25-75) will be measured via spirometer | At Preoperative, postoperative 2. hours, postoperative 24. hours |
| The changes on peak expiratory flow (PEF) | Peak expiratory flow (PEF) will be measured by the spirometer | At Preoperative, postoperative 2. hours, postoperative 24. hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tuğba Karaman, MD | Associate Professor | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziosmanpasa University Hospital | Tokat Province | Merkez | 60100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D000768 | Anesthesia, General |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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| Neuraxial anesthesia | Procedure | Spinal anesthesia will be applied via the local anesthetic ( Bupivacaine). |
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| Spirometer | Diagnostic Test | Pulmonary function will be evaluated via the portable spirometer (MIR Spirodoc, Spirodoc®, Roma, Italy) |
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