Health Condition 1: C169- Malignant neoplasm of stomach, unspecified Health Condition 2: null- Patients diagnosed with carcinoma stomach
Conditions
Interventions
Intervention1: Conventional: Under conventional group, patients fasted from midnight before the day of surgery.
A sedative premedication is usually given. Nasogastric tube is placed preoperatively an
low threshold to begin Noradrenaline to keep MAP 60 mm hg
5. Short-acting anaesthetic drugs and short-acting muscle relaxants.
6. Titration of anaesthetic agents to be achieved using the BIS
7. Low-
Paracetamol 1 gm iv sos
only paracetamol if renal compromise)
13. Thoracic epidural follow-up in ward.
14. Removal of thoracic epidural on post op day 2 evening 5pm.
15. In ward, oral paracetamol 20mg /kg orally 6th-8th hrly
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: a) Histologically confirmed adenocarcinoma of stomach for which surgery is expected. b) Patient age more than 18 years c) Accepting solids or at least oral liquids d) Eastern Cooperative Oncology Group performance status of 0, 1 or 2 e) American Society of Anesthesiologists score of I or II f) No contraindication of epidural anesthesia g) Written informed consent
Exclusion criteria
Exclusion criteria: a) Patients with uncontrolled diabetes or who needed the administration of insulin b) Pregnancy c) Involvement of duodenum
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post operative hospital stay.Timepoint: The patient will be assessed on post operative days 1,2,3,4,5,6,7,8,9,10 and further unless patient meets the discharge criteria. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of complications such as anastomotic leak, bowel obstruction, pneumonia, surgical site infection, mortality, reoperation and readmissionTimepoint: 30 days | — |
Countries
India
Contacts
Public ContactShritosh Kumar
All India Institute of Medical Sciences
Outcome results
None listed