Effect of Anesthesia Technique on Surgical View in Shoulder Arthroscopy

NCT07343414 | Not Yet Recruiting

• 1 other identifier: 2025000139-3
• Study Type: observational
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

This prospective observational study evaluates the effect of the anesthesia method (general anesthesia versus regional anesthesia \[interscalene nerve block/superficial cervical block\] with sedation) on the operating clarity of the surgical view and the surgeon's satisfaction during elective shoulder arthroscopy. The study investigates how these different anesthesia techniques influence intraoperative conditions, specifically bleeding amounts and the visibility of the surgical field, which are critical for the success of this minimally invasive procedure. Additionally, the research will monitor patient-centered outcomes, including postoperative pain levels, recovery time, and potential side effects such as nausea or vomiting, to determine which anesthesia strategy provides the optimal balance of surgical efficiency and patient comfort.

Conditions

Shoulder Arthroscopy; Interscalene Nerve Block; Surgical View Quality; Surgeon Satisfaction

Keywords

Shoulder Arthroscopy; Surgeon Satisfaction; Surgical View Quality; Interscalene Nerve Block; Rotator Cuff Repair

Outcome Measures

Primary Outcomes (1)

• Surgical View Clarity Score

  The clarity of the surgical field and the extent to which bleeding obscures visualization are evaluated by the surgeon using a 5-point Likert scale. The scale ranges from 1 (Poor/No Visualization) to 5 (Excellent/Crystal Clear Visualization).

  Intraoperative (assessed immediately upon completion of wound closure)

Secondary Outcomes (8)

• Surgeon Satisfaction Score

  Intraoperative (assessed immediately upon completion of wound closure)

• Intraarticular Bleeding Severity

  Intraoperative

• Feasibility of Controlled Hypotension

  Intraoperative

• Duration of Surgery

  Intraoperative

• Duration of Anesthesia

  Intraoperative

Study Arms (2)

General Anesthesia Group

Patients undergoing elective shoulder arthroscopy who receive general anesthesia as determined by routine clinical practice and patient preference.

Regional Anesthesia Group

Patients undergoing elective shoulder arthroscopy who receive regional anesthesia \[interscalene nerve block/superficial cervical block\] combined with sedation as determined by routine clinical practice and patient preference.

Eligibility Criteria

• Age: 18 Years - 75 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population consists of adult patients (aged 18 to 75 years) who are scheduled to undergo elective shoulder arthroscopy at the Sabuncuoğlu Şerefeddin Training and Research Hospital. These participants are recruited from the patient pool presenting to the Orthopedics and Traumatology clinic for surgical treatment of shoulder pathologies (rotator cuff tears or impingement). Participants include individuals with an ASA physical status of I, II, or III who are capable of providing informed consent .

You may qualify if:

• Volunteers aged 18 to 75 years.
• Patients scheduled for elective shoulder arthroscopy.
• Patients with an ASA (American Society of Anesthesiologists) physical status score of I, II, or III.
• Patients capable of providing informed consent.

You may not qualify if:

• Previous surgical procedure performed on the same shoulder.
• Presence of medical contraindications that could affect the choice of anesthesia (coagulopathy, active infection, severe pulmonary diseases)
• Known allergy to local anesthetics or general anesthesia agents
• History of opioid dependence or chronic pain syndrome
• Presence of neurological disorders, particularly those involving the brachial plexus

Sponsors & Collaborators

• Amasya University: lead

Study Sites (1)

Amasya University Sabuncuoglu Serefeddin Educational and Research Hospital

Amasya, Turkey (Türkiye)

Location

Study Officials

• Ahmet Salih Tüzen, M.D.

  Izmir Katip Celebi University Atatürk Training and Research Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Harun Tolga Duran, M.D.

CONTACT

+90 985 65 99; htd0561@gmail.com

Bülent Meriç Çam, M.D.

CONTACT

+90 534 815 60 11; bulentmericcam@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor

Study Record Dates

• First Submitted: January 7, 2026
• First Posted: January 15, 2026
• Study Start: February 1, 2026
• Primary Completion (Estimated): February 1, 2027
• Study Completion (Estimated): May 1, 2027
• Last Updated: January 15, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)