Comparison of Time and Cost Efficiency in Arthroscopic Shoulder Surgery Under Regional Anesthesia vs General Anesthesia (vs)

Arthroscopic Shoulder surgery can be done not only under general anesthesia but also regional technics. In this study we aimed to compare the cost and time effectiveness of regional anesthesia and general anesthesia.

Study Overview

• Status: Recruiting
• Conditions: Anesthesia

Detailed Description

In our routine practice, ultrasound guided brachial plexus blocks or general anesthesia can be used during shoulder surgery. This retrospective study is designed to investigate the data of the patients who underwent arthroscopic shoulder between 01.09.2021-01.09.2022 at Samsun University Education and Research Hospital. As well as patients' demographic data, presence of additional diseases, operation indications, duration of surgery, intraoperative medical agents that are used, duration of hospital stay will be collected from patients files.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 the healthcare workers. After final calculation of both of the group costs statistical analysis will be made.

• Study Type: Observational
• Enrollment (Anticipated): 80

Contacts and Locations

• Study Contact: Name: Murat Ünal; Phone Number: 1128 +90 362 311 1500; Email: murat.unal@yahoo.com

Study Locations

• Turkey
  • Samsun, Turkey
    • Recruiting
    • Samsun University
    • Contact: Murat Unal; Phone Number: 1128 +903623111500; Email: murat.unal@yahoo.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 14 years to 76 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

All patients between age 18 and 80 of ASA status 1,2,3 who underwent Arthroscopic Shoulder Surgery under General or Regional Anesthesia between 01.09.2021 and 01.09.2022.

Description

Inclusion Criteria:

• American Society of Anesthesiology (ASA) 1-2-3
• Arthroscopic Shoulder Surgery

Exclusion Criteria:

• Emergency surgery
• ASA -4

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Retrospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort
General; Arthroscopic Shoulder Surgery under General Anesthesia
Regional; Arthroscopic Shoulder Surgery under Regional Anesthesia

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cost of Regional Anesthesia and General Anesthesia	Calculation of peroperative costs of patients undergoing arthroscopic shoulder surgery under general or regional anesthesia. excluding surgical materials	1 year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Time	Measuring the operation room usage under general or regional anesthesia	1 year

Collaborators and Investigators

• Sponsor: Samsun University
• Investigators: Study Chair: Serkan Tulgar, Samsun University

Publications and helpful links

General Publications

• 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.
• 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.
• Tapar H, Suren M, Kaya Z, Arıcı S, Karaman S, Kahveci M. Üst Ekstremite Periferik Blok Anestezisi Ve Komplikasyonları. Journal of Contemporary Medicine 2012;2(3):195-200.
• 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.

Study record dates

Study Major Dates

• Study Start (Actual): December 16, 2022
• Primary Completion (Anticipated): January 1, 2023
• Study Completion (Anticipated): January 1, 2023

Study Registration Dates

• First Submitted: September 28, 2022
• First Submitted That Met QC Criteria: September 28, 2022
• First Posted (Actual): October 3, 2022

Study Record Updates

• Last Update Posted (Actual): December 19, 2022
• Last Update Submitted That Met QC Criteria: December 16, 2022
• Last Verified: December 1, 2022

More Information

Terms related to this study

• Keywords: Shoulder; Regional Anesthesia; Cost
• Other Study ID Numbers: SamsunU_Art_Should_cost

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: Undecided

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No