Association Between Postoperative Analgesic Approaches and Quality of Recovery and Swallowing Pain in Patients Undergoing Elective Total Thyroidectomy: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Quality of Recovery-15 (QoR-15) Total Score
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
- •Pregnancy
- •Patients expected to require postoperative intensive care
- •Patients experiencing intraoperative complications that deviate from the standard monitoring protocol
研究组 & 干预措施
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.
干预措施: Cervical Plexus Block (Other)
结局指标
主要结局
Quality of Recovery-15 (QoR-15) Total Score
时间窗: 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.
次要结局
未报告次要终点
研究者
İlke Dolgun
Assoc.Prof
Istinye University