Clinical trial NCT05406609: Cost Comparison Between General Anesthesia and Regional Anesthesia in Shoulder Operations
Official title: Cost Comparison Between General Anesthesia and Regional Anesthesia in Shoulder Operations
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Anesthesia
Keywords: cost
Regional anesthesia
Shoulder
Lead sponsor: Samsun University
Sponsor class: OTHER
First posted: 2022-06-06
Enrollment: 55
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Shoulder surgery with general anesthesia or regional anesthesia in our hospital between ASA I-II and III group patients will be included in the study

Brief summary: Shoulder surgery can be done not only arthroscopy but also open technic. General or regional anaesthesia can be used at this surgery. Anaesthetic choice can be changed by comorbidity factors, patients or surgeons choice etc. At this study we aimed compare the general and regional anesthesia costs during operating room.

Detailed description: General anesthesia or ultrasound guided brachial plexus blocks (interscalene, superior trunk) can be used during shoulder surgery, as our routine. In this retrospective study, the data of patients who underwent shoulder surgery under regional or general anesthesia between 01 August 2021 and 31 March 2022 (8 months) in the operating room of the Samsun University Education and Research Hospital will be investigated. The characteristics of the patients such as age, presence of additional disease, operation indication, duration of stay in the operating room, and intraoperative medical agents will be recorded. 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 healthcare workers. After calculating the group costs between both groups, statistical analyzes will be made.

Eligibility criteria: Inclusion Criteria:

* Open shoulder surgery, ASA I, II and III

Exclusion CriteriaS

* shoulder Arthroscopy , used regional anesthesia for only analgesia, American society of Anesthesiologists (ASA) score IV patients, emergency

Primary outcomes:
measure: Cost of regional and general anesthesia
timeFrame: 6 months
Secondary outcomes:
measure: Time
timeFrame: 6 months
Other outcomes:
Locations:
city: Samsun
country: Turkey
facility: Dilan Akyurt
Study officials:
affiliation: Samsun University
name: Serkan Tulgar
role: STUDY_DIRECTOR
References:
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.
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.