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Obesity is a health problem throughout the world and has increasingly become a widespread epidemic all over the world and also in Turkey. Anesthesia management of obese patients is challenging because of difficult airway, increased drug doses, co-morbidities, loss of anatomical landmarks and difficulties in positioning.
Neuroaxial and peripheral nerve blocks are widely used in anesthesia practice in both obese and non-obese patients undergoing different surgical operations.
In this prospective observational study, the investigators plan to enroll all patients that are applied neuroaxial or peripheral blocks during the study period. The aim of this study is to compare the differences and difficulties of regional anesthesia/analgesia techniques in obese and non-obese patients.
Obesity is a health problem throughout the world and has increasingly become a widespread epidemic all over the world and also in Turkey. Anesthesia management of obese patients is challenging because of difficult airway, increased drug doses, co-morbidities, loss of anatomical landmarks and difficulties in positioning.
On the other hand, neuroaxial and peripheral nerve blocks are widely used in anesthesia practice in both obese and non-obese patients undergoing different surgical operations.
In this prospective observational study, the investigators plan to enroll all patients that are applied neuroaxial or peripheral blocks during the study period. The difficulty of block performance, its relationship with experience, the requirement of changing hands with more experienced clinician, the requirement of changing patient position, regional anesthesia approach or needle (size and length), the requirement of adding rescue block, block success, performance duration, the number of needle direction (multiple attempts), the requirement of changing anesthesia or analgesia technique (conversion to general anesthesia), the requirement of adding another block monitorisation technique, adverse effect/complication, patient satisfaction and patient's request for a similar technique next time are all recorded both in obese and non-obese patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Obese patients | Body mass index > 30 kg/m2 |
| |
| Non-obese patients | Body mass index < 30 kg/m2 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Regional anesthesia/analgesia techniques | Other | Neuroaxial or peripheral block anesthesia/analgesia technique that is appropriate for the patient's surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| The difficulty of block performance | 0: easy, 1: difficult, 2: very difficult | through the block performance, within 5-10 minutes |
| Measure | Description | Time Frame |
|---|---|---|
| The experience of the anesthesiologist | 0: Junior resident, 1: senior resident, 2: attending anesthesiologist, 3: assoc.prof./prof.anesthesiologist | through the Anesthesiology residency training period, within 5 years and Anesthesiology experience, within 20 years |
| The requirement of changing hands with a more experienced anesthesiologist |
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Inclusion Criteria:
Exclusion Criteria:
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Any patient eligible for regional anesthesia/analgesia procedures
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emine A Salvız, M.D. | Contact | +905325225599 | aysusalviz@gmail.com | |
| Meltem M Guler, M.D. | Contact | +905531863775 | meltemmervek@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Emine A Salvız, M.D. | Istanbul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University | Recruiting | Istanbul | 34093 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 16551933 | Background | Franco CD, Gloss FJ, Voronov G, Tyler SG, Stojiljkovic LS. Supraclavicular block in the obese population: an analysis of 2020 blocks. Anesth Analg. 2006 Apr;102(4):1252-4. doi: 10.1213/01.ane.0000198341.53062.a2. | |
| 20418535 | Background | Hanouz JL, Grandin W, Lesage A, Oriot G, Bonnieux D, Gerard JL. Multiple injection axillary brachial plexus block: influence of obesity on failure rate and incidence of acute complications. Anesth Analg. 2010 Jul;111(1):230-3. doi: 10.1213/ANE.0b013e3181dde023. Epub 2010 Apr 24. |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| ID | Term |
|---|---|
| D000765 | Anesthesia, Conduction |
| ID | Term |
|---|---|
| D000758 | Anesthesia |
| D000760 | Anesthesia and Analgesia |
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The number of changing |
| through the block performance, within 5-10 minutes |
| The requirement of changing patient position | Yes/No | through the block performance, within 5-10 minutes |
| The requirement of changing regional anesthesia/analgesia approach | Yes/No | through the block performance, within 5-10 minutes |
| The requirement of changing needle size or length | Yes/No | through the block performance, within 5-10 minutes |
| The requirement of adding rescue block | Yes/No | through the block performance, within 5-10 minutes |
| Block performance duration | Time period | 0-30 minutes |
| The number of needle direction | Number | through the block performance, within 5-10 minutes |
| The requirement of conversion to general anesthesia | Yes/No | through the block performance, within 5-10 minutes |
| The requirement of adding another block monitorization technique | Yes/No | through the block performance, within 5-10 minutes |
| Adverse effect/complication rate | Yes/No | 1 week |
| Block success | Yes/No | 0-30 minutes |
| Patient satisfaction | 0-3 (0: not satisfied...3: very satisfied) | 1 week |
| Patient's request for a similar technique next time | Yes/No | 1 week |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |