Postoperative Recovery Time in Inguinal Hernia Repair Under Ilioinguinal, Iliohypogastric Nerve Block and Sedation Versus General Anesthesia: a Propensity Score Matched-cohort Retrospective Study
试验速览
- 阶段
- 不适用
- 入组人数
- 350
- 试验地点
- 1
- 主要终点
- Postoperative recovery time
研究概览
简要总结
Inguinal hernia have traditionally been done under general anesthesia. While safe, general anesthesia is associated with potential postoperative nausea/vomiting and drowsiness. Additionally, the recent COVID19 pandemic has heightened the precaution to avoid aerosol generating procedures (AGP) if possible. General anesthesia requires airway manipulation, thus necessitate performing an AGP. Recently, we began using peripheral nerve block and sedation as primary anesthetic technique for inguinal hernia repairs. While surgeon administered local anesthetic, also known as local infiltration, has been done for inguinal hernia repair, using specific nerve blocks and sedation has not been compared with general anesthesia. We believe the advantage of this novel technique can improve postoperative recovery. This retrospective study will compare the total hospital length of stay of those receiving nerve blocks and sedation as primary anesthetic techniques versus those with general anesthesia.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •18 years or older
- •American Society of Anesthesiologists (ASA) Physical Status I to III
- •Body Mass Index (BMI) less than 45
- •Single hernia repair, elective, ambulatory surgery
排除标准
- •Opioid dependence (30 mg oral morphine equivalents daily or more)
- •History of malignant hyperthermia
- •Pregnancy
结局指标
主要结局
Postoperative recovery time
时间窗: Time from exiting operating room to time ready for hospital discharge, up to 100 hours
Time from exiting operating room to time ready for hospital discharge
次要结局
- Desaturation(Time from exiting operating room to time ready for hospital discharge, up to 100 hours)
- Postoperative opioid dose(Time from exiting operating room to time ready for hospital discharge, up to 100 hours)
- Hospital length of stay(Time from patient registration to ready for hospital discharge, up to 100 hours)
- Severe pain(Time from exiting operating room to time ready for hospital discharge, up to 100 hours)
- Preoperative time(Time from patient registration to entering operating room, up to 100 hours)
- Postoperative nausea vomiting(Time from exiting operating room to time ready for hospital discharge, up to 100 hours)
- Intraoperative time(Time from entering to exiting operating room, up to 100 hours)
研究者
Cheng Lin
Clinical Professor
Lawson Health Research Institute