Postoperative Recovery, Transurethral Resection of the Bladder, Urinary Bladder Neoplasms
Conditions
Brief summary
Transurethral resection of the bladder (TURB) is often performed as an outpatient procedure so high-quality postoperative recovery is particularly important. The aim of this study is to compare postoperative quality of recovery after spinal anesthesia (SA) and general anesthesia (GA) for transurethral resection of the bladder.
Detailed description
After written informed consent is obtained seventy patients aged 18-80 years, ASA (American Society of Anesthesiologists) physical status class I-III scheduled for TURB will be randomly assigned to either spinal anesthesia or general anesthesia. Spinal anesthesia will be performed with 12.5 mg of bupivacaine mixed with 25 mcg of fentanyl. General anesthesia will be performed with propofol and fentanyl and maintained with sevoflurane, without use of neuromuscular blocking agents. Quality of Recovery 40 questionnaire (QoR-40) administered before and 24 hours after surgery will be used for assessment of postoperative recovery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Transurethral resection of the bladder * Age 18 to 80 years * ASA I-III
Exclusion criteria
* Contraindications for spinal anesthesia * Chronic pain with use of opioids in the last week * Psychiatric disorders * Allergy to medications used in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Recovery 40 (QoR-40) | 24 hours | Quality of Recovery 40 questionnaire at 24 hours |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative opioid consumption | 24 hours | Postoperative opioid consumption over 24 hours |
| Postoperative pain measured with visual analogue scale | 1,6 and 24 hours | Postoperative pain measured with visual analogue scale at 1,6 and 24 hours |
| Patient satisfaction with anesthesia measured with numerical rating scale | 24 hours | Overall patient satisfaction with anesthesia measured with numerical rating scale |
Countries
Croatia