Analgesia Methods and Early Mobilization in Geriatric ICU Patients After Major Surgery

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age65+
SponsorProf. Dr. Cemil Tascıoglu Education and Research Hospital Organization

About this trial

This study looks at how different pain-control methods affect how quickly older adults get out of bed and start moving again after major surgery. Researchers will observe patients aged 65 and older who are admitted to the intensive care unit (ICU) after major surgery. Doctors will use their usual pain-control methods - either medication given through a vein, an epidural, or a nerve block - based on standard clinical practice; the study team will not change or choose the treatment. The study will record how long it takes for each patient to first sit up, stand, or walk after surgery, along with pain levels, confusion (delirium), how satisfied patients are with their pain control, and how long they stay in the ICU. The goal is to better understand which pain-control approaches may help older patients recover and move more quickly and safely after major surgery.

Eligibility criteria

Qualifiers

Age 65 years or older

ASA physical status classification I-IV

Admitted to the intensive care unit (ICU) following major surgery

ICU stay of at least 24 hours

Disqualifiers

Previously diagnosed advanced-stage dementia

Inability to assess consciousness due to severe neurological deficit

ICU stay of less than 24 hours

Incomplete or insufficient clinical data

Trial design

Treatments tested in this trial

  • Systemic Opioid Analgesia (± Multimodal)
  • Epidural Analgesia
  • Peripheral Nerve Block (± Multimodal)

Treatment groups

90 Participants
are divided into 3 treatment groups