None listed
Conditions
Brief summary
Randomized controlled trial to compare the outcome of ERAS protocol versus conventional protocol in patients undergoing small intestinal stoma reversal patients, in terms of postoperative recovery and anastomotic leadage.
Interventions
ERAS protocol.
>> information will be provided to the patients verbally before they sign the consent form
>>ERAS protocol will be implemented (The patients will be given a carbohydrate drink i.e. 10% Dextrose water 200 ml, 2 hours before surgery. Ondansetron 4mg intravenously will be given at the time of reversal of anesthesia. The incision site will be infiltrated with bupivacaine at the end of surgery. Postoperatively, patients will be given 1g acetaminophen IV three times daily and 30 mg keto
ERAS protocol. >> information will be provided to the patients verbally before they sign the consent form >>ERAS protocol will be implemented (The patients will be given a carbohydrate drink i.e. 10% Dextrose water 200 ml, 2 hours before surgery. Ondansetron 4mg intravenously will be given at the time of reversal of anesthesia. The incision site will be infiltrated with bupivacaine at the end of surgery. Postoperatively, patients will be given 1g acetaminophen IV three times daily and 30 mg ketorolac IV three times daily for pain relief. They will be commenced on oral sips (water and green tea) followed by liquids(fruit juices, milk tea) 6 hours after surgery, and on semisolids(e.g. porridge, rice etc) on post-operative day 1. They will be discharged on post-operative day 2, in case of complete recovery). Adherence to intervention will be monitored by checking patients' files(medical record). >>A Post-graduate trainee of General surgery will deliver the ERAS protocol. >> Mode of delivery will be face-to-face. >>The intervention will be done at East Surgical Ward, Mayo Hospital, Lahore.
Sponsors
Mayo Hospital, Lahore
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
i.Patients aged 18-60 years with small intestinal stoma ii.ASA (American Society of Anesthesiologists) Grade 1-2
Exclusion criteria
Patients suffering from the following conditions: i.Diabetes mellitus ii.Chronic liver disease iii.Chronic renal failure iv.Tuberculosis and Inflammatory bowel disease v.Diseases requiring chronic steroid treatment
Outcome results
None listed