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The aim of this research is to examine the effects of the anesthesia method and preoperative characteristics on postoperative results and complications in patients who underwent percutaneous kyphoplasty (PKP).
Method: Patients were split into three groups according to anesthesia methods: (1) General Anesthesia (Sedation), (2) Central Block (Spinal and Epidural Anesthesia), (3) Peripheral Block [Erector Spina Plane Block (ESPB), and Paravertebral Block (PVB)]. Patients' pain values, hemodynamic parameters, additional need for sedation, and perioperative and postoperative complications were recorded prospectively together with Visual Pain Scales (VAS).
Demographic characteristics (body mass index [BMI], gender, age, ASA use, pain values [VAS] before surgery, analgesic use habits, anesthesia technique chosen by anesthesiologist blind to the study, perioperative hemodynamic parameters, additional opioid during surgery, parol? or anesthetic need, perioperative complications [patients who willingly stopped the procedure during the intervention, moaning, hypotension, hypertension, bradycardia, respiratory depression, desaturation and need for mask ventilation] were taken from the records of the individuals with the treatment of PKP between 01/22-07/22 after the approval of the SBÜ Bursa Yüksek İhtisas EAH Ethics Committee (2021-KAEK-25 2021/12-09) and the patient's consent. In addition, the first mobilization time, additional analgesic need, total amount of analgesic used in 24 hours, discharge time, VAS values at 2, 6,12, and 18 hours, complications (nausea, vomiting, pain, delirium, respiratory insufficiency, infection, deep vein thrombosis, pulmonary embolus, need for re-operation, need for intensive care or mechanic ventilator) were also recorded.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | General anesthesia or sedation |
| |
| Group 2 | Central Block (Spinal and Epidural Anesthesia |
| |
| Group 3 | Peripheral Block [Erector Spina Plane Block (ESPB), and Paravertebral Block (PVB)](streamdown:incomplete-link) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Analgesic consumption | Procedure | 1 gr iv paracetamol for all patients with a VAS value of 2 or 3; for 4 and over, 1.5 mg/kg iv tramadol was administered additionally. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Visual Analog Scala (VAS) values | VAS is a scala between 0-10 points. If there is no pain it means 0; very severe pain is 10 points. | VAS values at postoperative 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesic consumption | In all times that VAS is recorded;1 gr iv paracetamol for all patients with a VAS value of 2 or 3; for 4 and over, 1.5 mg/kg iv tramadol was administered additionally. | postoperative 24 hours after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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18-100 aged kyphoplasty patients
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| Name | Affiliation | Role |
|---|---|---|
| Tuğba T Onur, MD | Bursa Yuksek Ihtisas Training and Research Hospital | Principal Investigator |
| Ümran Ü Karaca, MD | Bursa Yuksek Ihtisas Training and Research Hospital | Study Chair |
| Asiye A Demirel, MD | Bursa Yuksek Ihtisas Training and Research Hospital | Study Chair |
| Şeyda Efsun ŞE Özgünay, Assoc Prof | Bursa Yuksek Ihtisas Training and Research Hospital | Study Chair |
| Anıl A Onur, MD | Bursa Medicabil Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bursa Training and Research Hospital | Bursa | 16600 | Turkey (Türkiye) |
With the written consent of the patients and the approval of the ethics committee, I do not intend to share their special circumstances and information other than the study data.
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| ID | Term |
|---|---|
| D016103 | Spinal Fractures |
| ID | Term |
|---|---|
| D013124 | Spinal Injuries |
| D019567 | Back Injuries |
| D014947 | Wounds and Injuries |
| D050723 | Fractures, Bone |
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