Postoperative Pain
Conditions
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.
Interventions
Bilateral intermediate cervical plexus block may be performed as part of routine clinical practice based on the attending anesthesiologist's decision. The study is observational, and no intervention, assignment, or protocol-driven procedure is applied. Patients are managed according to standard perioperative care.
Sponsors
Istinye University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
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 * Pregnancy * Patients expected to require postoperative intensive care * Patients experiencing intraoperative complications that deviate from the standard monitoring protocol
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Recovery-15 (QoR-15) Total Score | 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. |
Countries
Turkey (Türkiye)
Contacts
CONTACTİlke Dolgun
Outcome results
None listed