Association Between Postoperative Analgesic Approaches and Quality of Recovery and Swallowing Pain in Patients Undergoing Elective Total Thyroidectomy: A Prospective Observational Study
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Istinye University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Quality of Recovery-15 (QoR-15) Total Score
Overview
Brief Summary
This prospective observational study evaluates the association between postoperative analgesic approaches and recovery outcomes in patients undergoing elective total thyroidectomy. Patients will be followed under routine clinical care without intervention or randomization.
The primary outcome is the Quality of Recovery-15 (QoR-15) score at 24 hours. Secondary outcomes include swallowing pain, resting pain, opioid consumption, postoperative nausea and vomiting, and additional analgesic requirement.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients aged 18-75 years
- •ASA physical status classification I-III
- •Patients scheduled for elective bilateral total thyroidectomy
- •Patients undergoing surgery under general anesthesia
- •Individuals able to read and understand Turkish and cognitively capable of completing the QoR-15 questionnaire
- •Patients providing written informed consent to participate in the study
Exclusion Criteria
- •Chronic opioid use (≥3 months of regular opioid use)
- •Presence of chronic pain syndrome
- •Psychiatric illness or cognitive impairment
- •History of neurological disease (stroke, dementia, Parkinson's disease, etc.)
- •Known allergy to local anesthetic agents
- •Previous surgical interventions in the cervical region (including revision thyroid surgery)
- •Planned extended surgery with concomitant neck dissection
- •Substernal/retrosternal goiter cases (with potential need for sternotomy or additional procedures)
- •Emergency surgical procedures
- •Patients with ASA physical status IV or higher
Arms & Interventions
Cervical Plexus Block Group
Patients who receive bilateral intermediate cervical plexus block as part of routine clinical practice, based on the attending anesthesiologist's decision.
No Block Group
Patients who do not receive cervical plexus block and are managed with standard postoperative analgesia according to routine clinical practice.
Intervention: Cervical Plexus Block (Other)
Outcomes
Primary Outcomes
Quality of Recovery-15 (QoR-15) Total Score
Time Frame: 24 hours postoperatively
Quality of recovery will be assessed using the QoR-15 questionnaire. The total score ranges from 0 to 150, with higher scores indicating better recovery. The outcome will be compared between patients who received cervical plexus block and those who did not.
Secondary Outcomes
No secondary outcomes reported
Investigators
İlke Dolgun
Assoc.Prof
Istinye University