Impact of Combined Intravenous-Inhalational vs Inhalational Anesthesia on QoR-15 Recovery Scores in Gynecologic Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorSakarya University

About this trial

This study aims to compare the effects of combined intravenous-inhalational anesthesia versus inhalational anesthesia alone on postoperative recovery in patients undergoing elective gynecologic surgery.

A total of 100 patients, aged 18-65 years and classified as ASA I-III, scheduled for elective gynecologic procedures at Sakarya University Faculty of Medicine Training and Research Hospital, will be included. The sample size was calculated based on the primary outcome, the Quality of Recovery-15 (QoR-15) score.

Patients will complete the QoR-15 questionnaire preoperatively, before knowing which anesthesia method will be applied. Postoperative QoR-15 scores will be collected on postoperative days 1 and 2, and intraoperative data will be obtained from anesthesia records.

The study evaluates postoperative recovery using QoR-15 scores, covering physical comfort, emotional state, psychological support, pain, and ability to perform daily activities. Higher scores indicate better recovery, whereas lower scores indicate impaired postoperative recovery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients aged 18-65 years

Scheduled for elective gynecologic surgery at Sakarya University Faculty of Medicine Training and Research Hospital

Classified as ASA I-III

Able to understand and complete the QoR-15 questionnaire

Disqualifiers

Severe comorbidities (beyond ASA III)

Patients with advanced neurological disease or cognitive impairment

Known allergy to anesthetic drugs used in the study

Classified as ASA IV-V

Trial design

Design model

Parallel

Treatments tested in this trial

  • Combined Intravenous-Inhalational Anesthesia

    Drug

    Patients will receive a combination of intravenous anesthetic agents and inhalational anesthetic gases during elective gynecologic surgery. The specific anesthetic drugs and doses will follow routine clinical practice. Postoperative recovery will be assessed using the Quality of Recovery-15 (QoR-15) questionnaire on postoperative days 1 and 2.

  • Inhalational Anesthesia Only

    Drug

    Patients will receive only inhalational anesthetic gases during elective gynecologic surgery, following routine clinical practice. Postoperative recovery will be assessed using the QoR-15 questionnaire on postoperative days 1 and 2.

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Combined Intravenous-Inhalational AnesthesiaExperimental treatment 1 intervention
Group B: Inhalational Anesthesia OnlyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Postoperative recovery using QoR-15

Postoperative recovery will be assessed using the Quality of Recovery-15 (QoR-15) questionnaire, a validated patient-reported outcome measure. The questionnaire evaluates physical comfort, emotional state, psychological support, pain, and ability to perform daily activities. Higher scores indicate better recovery.

Time frame
Postoperative Day 1 and Postoperative Day 2

Secondary outcomes

1

Postoperative pain score

Pain will be assessed using a standard numerical rating scale (0-10) at postoperative hours 6, 12, and 24. Higher scores indicate more pain.

Time frame
Postoperative hours 6, 12, and 24
2

Postoperative nausea and vomiting (PONV) incidence

Incidence of nausea and vomiting will be recorded in the first 24 hours after surgery.

Time frame
Postoperative hours 0-24
3

Length of stay in post-anesthesia care unit (PACU)

Duration of stay in PACU will be recorded in minutes from admission to discharge.

Time frame
Postoperative period (PACU stay), assessed up to 10 days

Other outcomes

Sponsors and contacts

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