None listed
Conditions
Brief summary
Post-operative ice block consumption offers potential to reduce adverse symptoms of post-operative nausea and vomiting (PONV) and thus optimise patient recovery, patient experience, as well as decrease costs to healthcare systems through decreased antiemetic use and hospital length of stay. Therefore, in people who have undergone surgery requiring general anaesthesia, the objectives of this study are to examine the effect of post-operative consumption of a lemonade ice block compared to 1). unflavoured ice chips or 2). standard care (no ice block or ice chips) on postoperative recovery; specifically, PONV incidence and severity, rescue antiemetic use, and PONV-related outcomes (blood glucose level, quality of recovery, gastrointestinal recovery, post-anaesthesia recovery unit length of stay, patient experience). Outcome data will be collected at four time points: T0 (pre-surgery, within 24-hours of scheduled surgery), T1 (post-surgery, on waking in recovery unit; medical records only), T2 (post-surgery, on discharge from recovery unit), and T3 (24 hours post-surgery).
Interventions
Participants randomised to Group 2 will receive standard care in addition to Intervention A (the consumption of ½ cup of unflavoured ice chips). Participants randomised to Group 3 will receive standard care in addition to Intervention B (the consumption of one lemonade flavoured ice block [ice confection]). Interventions A and B will be administered after the surgery completion once participants are in the recovery unit, have regained consciousness, and have been declared safe to eat the ice chi
Participants randomised to Group 2 will receive standard care in addition to Intervention A (the consumption of ½ cup of unflavoured ice chips). Participants randomised to Group 3 will receive standard care in addition to Intervention B (the consumption of one lemonade flavoured ice block [ice confection]). Interventions A and B will be administered after the surgery completion once participants are in the recovery unit, have regained consciousness, and have been declared safe to eat the ice chips by nursing staff. Adherence to the intervention will be monitored by nursing staff who will report the amount of ice chips/ice block consumed. As part of standard care, following the surgical procedure requiring general anaesthesia, participants are moved from the operating theatre to the post-anaesthesia recovery unit where they regain consciousness prior to being discharged home or to the hospital ward. If participants report feeling nauseous or are vomiting, they are offered antiemetic medications; therefore, there are no restrictions on prescribed antiemetic use in this project.
Sponsors
Queensland University of Technology
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants who meet all of the following criteria will be considered for inclusion in the study: • Aged 18 years and above • Have capacity to give informed consent • • Scheduled to undergo general (hernia, haemorrhoid, incision/drainage of rectal abscess), primary bariatric, or orthopaedic surgery requiring general anaesthesia • Are willing to not use any self-prescribed nausea remedies in the 24 hours after the surgery (e.g., ginger supplements)
Exclusion criteria
The presence of any of the following criteria will constitute cause for exclusion of the participant: • Scheduled for secondary bariatric surgeries or revisions • Women who are pregnant • Notification from treating surgeon that participant is not deemed to have capacity to consent or is not suitable for inclusion • No access to email • Those who do not provide consent at least 48 hours prior to their scheduled surgery.
Outcome results
None listed