Anesthesia Type and Postoperative Sleep Quality in Septoplasty (ANES-SLEEP)

Elazıg Fethi Sekin Sehir Hastanesi

Status

Enrolling

Conditions

Total Intravenous Anesthesia

Septoplasty

Postoperative Sleep Quality

Inhalational Anesthesia

Nasal Septum Deviation

Study type

Observational

Funder types

Other

Identifiers

NCT07325799

FSH-ANES-SEP-SLEEP-2025

Details and patient eligibility

About

This prospective observational study aims to evaluate the association between routinely applied anesthesia techniques and postoperative sleep quality in adult patients undergoing septoplasty. Patients will receive either total intravenous anesthesia or inhalational anesthesia according to standard clinical practice, without any intervention by the investigators. Postoperative sleep quality will be assessed using the Richards-Campbell Sleep Questionnaire on postoperative days 7 and 15. Secondary outcomes include postoperative pain intensity, opioid consumption, and postoperative nausea and vomiting.

Full description

This study is designed as a prospective, observational cohort study conducted at a single tertiary care center. The study population will consist of adult patients undergoing elective septoplasty for nasal septum deviation. All patients will receive general anesthesia as part of routine clinical care, either using total intravenous anesthesia (TIVA) or inhalational anesthesia, according to the anesthesiologist's standard practice. No randomization or study-related intervention will be performed.

Eligible patients will be enrolled consecutively after providing written informed consent. Demographic data, clinical characteristics, American Society of Anesthesiologists (ASA) physical status, duration of surgery, anesthesia technique, perioperative opioid consumption, and postoperative complications will be recorded prospectively using hospital electronic medical records and standardized case report forms.

Postoperative sleep quality will be evaluated using the Richards-Campbell Sleep Questionnaire (RCSQ), a validated patient-reported outcome measure. Follow-up assessments will be conducted via telephone interviews on postoperative days 7 and 15. Pain intensity will be assessed using the Numerical Pain Rating Scale, and postoperative nausea and vomiting will be evaluated using a standardized ordinal scale.

Enrollment

72 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

- Adults aged 18 years and older
American Society of Anesthesiologists (ASA) physical status I-III
Scheduled for elective septoplasty under general anesthesia
Willing and able to provide written informed consent
Agree to postoperative follow-up telephone interviews on postoperative days 7 and 15

Exclusion criteria

- ASA physical status IV or V
Age younger than 18 years
Severe obstructive sleep apnea confirmed by polysomnography and requiring active CPAP therapy
Significant cognitive impairment, delirium, or active psychiatric disorder preventing reliable questionnaire completion
Chronic use of opioids, benzodiazepines, hypnotics, sedatives, or antipsychotic medications (≥3 days per week within the last month)
Alcohol or substance abuse
Major intraoperative complications, unplanned intensive care unit admission, or reoperation within the first 24 hours
Pregnancy or breastfeeding
Severe systemic disease or unstable cardiopulmonary condition