The aim of this study is to compare the quality of recovery in patients undergoing arthroscopic shoulder surgery depending on the type of anesthesia used: 1. general anesthesia with preoperative brachial plexus block for intra- and postoperative analgesia 2. regional anesthesia (brachial plexus block) with intraoperative sedation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
Interscalene brachial plexus block with 0.75% ropivacaine. Intraoperative sedation with remimazolam or propofol.
General anesthesia with propofol, fentanyl and rocuronium for induction, and with sevoflurane for maintenance. Brachial plexus block with 0.5% ropivacaine for intra- and postoperative analgesia.
Seoul National University Hospital
Seoul, Jongno-gu, South Korea
RECRUITINGQuality of recovery (QoR-15) at 48 hours post-surgery
Quality of recovery (QoR-15) at 48 hours post-surgery (0-150)
Time frame: at 48 hours post-surgery
Antiemetic administration
Antiemetic administration from end of surgery up to 48 hours post-surgery
Time frame: rom end of surgery up to 48 hours post-surgery
Baseline hemidiagphramatic paralysis
Baseline hemidiagphramatic paralysis
Time frame: On the day of surgery, before the operation
Postoperative hemidiagphramatic paralysis
Postoperative hemidiagphramatic paralysis
Time frame: Immediately after surgery
Quality of recovery (QoR-15) on the day before surgery
Quality of recovery (QoR-15) on the day before surgery (0-150)
Time frame: on the day before surgery
Quality of recovery (QoR-15) 24 hours post-surgery
Quality of recovery (QoR-15) 24 hours post-surgery (0-150)
Time frame: at 24 hours post-surgery
Postoperative pain 1 hour post-surgery
Postoperative pain 1 hour post-surgery (Numeric rating scale, 0: no pain; 10: worst pain imaginable)
Time frame: at 1 hour post-surgery
Postoperative pain 6 hours post-surgery
Postoperative pain 6 hours post-surgery (Numeric rating scale, 0: no pain; 10: worst pain imaginable)
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Time frame: at 6 hours post-surgery
Postoperative pain 12 hours post-surgery
Postoperative pain 12 hours post-surgery (Numeric rating scale, 0: no pain; 10: worst pain imaginable)
Time frame: at 12 hours post-surgery
Postoperative pain 24 hours post-surgery
Postoperative pain 24 hours post-surgery (Numeric rating scale, 0: no pain; 10: worst pain imaginable)
Time frame: at 24 hours post-surgery
Postoperative pain 48 hours post-surgery
Postoperative pain 48 hours post-surgery (Numeric rating scale, 0: no pain; 10: worst pain imaginable)
Time frame: at 48 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 1 hour post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 1 hour post-surgery
Time frame: at 1 hour post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 6 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 6 hours post-surgery
Time frame: at 6 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 12 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 12 hours post-surgery
Time frame: at 12 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 24 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 24 hours post-surgery
Time frame: at 24 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 48 hours post-surgery
Incidence of postoperative nausea and/or vomiting (PONV) 48 hours post-surgery
Time frame: at 48 hours post-surgery
Rescue opioid analgesic administration
Rescue opioid analgesic administration from end of surgery up to 48 hours post-surgery (morphine milligram equivalent, MME)
Time frame: from end of surgery up to 48 hours post-surgery