Clinical trial NCT05563025: Comparison of Time and Cost Efficiency in Arthroscopic Shoulder Surgery Under Regional Anesthesia vs General Anesthesia
Official title: Comparison of Time and Cost Efficiency in Arthroscopic Shoulder Surgery Under Regional Anesthesia vs General Anesthesia
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Anesthesia
Keywords: Cost
Regional Anesthesia
Shoulder
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2022-10-03
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: All patients between age 18 and 80 of ASA status 1,2,3 who underwent Arthroscopic Shoulder Surgery under General or Regional Anesthesia between 01.09.2021 and 01.09.2022.

Brief summary: Arthroscopic Shoulder surgery can be done not only under general anesthesia but also regional technics. In this study we aimed to compare the cost and time effectiveness of regional anesthesia and general anesthesia.

Detailed description: In our routine practice, ultrasound guided brachial plexus blocks or general anesthesia can be used during shoulder surgery. This retrospective study is designed to investigate the data of the patients who underwent arthroscopic shoulder between 01.09.2021-01.09.2022 at Samsun University Education and Research Hospital. As well as patients' demographic data, presence of additional diseases, operation indications, duration of surgery, intraoperative medical agents that are used, duration of hospital stay will be collected from patients files.Fees for materials used for general anesthesia and regional anesthesia will be determined. A fixed cost will be determined for the use of the operating room, including the salaries of the healthcare workers. After final calculation of both of the group costs statistical analysis will be made.

Eligibility criteria: Inclusion Criteria:

* American Society of Anesthesiology (ASA) 1-2-3
* Arthroscopic Shoulder Surgery

Exclusion Criteria:

* Emergency surgery
* ASA -4

Primary outcomes:
measure: Cost of Regional Anesthesia and General Anesthesia
timeFrame: 1 year
Secondary outcomes:
measure: Time
timeFrame: 1 year
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: Samsun University
Study officials:
affiliation: Samsun University
name: Serkan Tulgar
role: STUDY_CHAIR
References:
citation: Tapar H, Suren M, Kaya Z, Arıcı S, Karaman S, Kahveci M. Üst Ekstremite Periferik Blok Anestezisi Ve Komplikasyonları. Journal of Contemporary Medicine 2012;2(3):195-200.
citation: Hewson DW, Oldman M, Bedforth NM. Regional anaesthesia for shoulder surgery. BJA Educ. 2019 Apr;19(4):98-104. doi: 10.1016/j.bjae.2018.12.004. Epub 2019 Feb 6. No abstract available.
citation: Komann M, Avian A, Dreiling J, Gerbershagen H, Volk T, Weinmann C, Meissner W. Association of Perioperative Regional Analgesia with Postoperative Patient-Reported Pain Outcomes and Opioid Requirements: Comparing 22 Different Surgical Groups in 23,911 Patients from the QUIPS Registry. J Clin Med. 2021 May 19;10(10):2194. doi: 10.3390/jcm10102194.
citation: Gonano C, Kettner SC, Ernstbrunner M, Schebesta K, Chiari A, Marhofer P. Comparison of economical aspects of interscalene brachial plexus blockade and general anaesthesia for arthroscopic shoulder surgery. Br J Anaesth. 2009 Sep;103(3):428-33. doi: 10.1093/bja/aep173. Epub 2009 Jul 8.