Health Condition 1: K650- Generalized (acute) peritonitis
Conditions
Interventions
Intervention1: Adapted ERAS pathway: Adapted ERAS (Enhanced recovery after surgery) pathway will be applied to the study group
Control Intervention1: Control Group: standard treatment protocol of the
Sponsors
Jawaharlal Institute of Postgraduate Medical Education Research Government of India
Eligibility
Inclusion criteria
Inclusion criteria: All consecutive patients above 18 years of age, who present to the emergency surgical team with perforation peritonitis, diagnosed based on clinical examination and adjunct investigations and planned for emergency laparotomy after volume resuscitation.
Exclusion criteria
Exclusion criteria: 1.Age less than 18 years 2. Uncontrolled comorbid diseases. 3. Localized peritonitis 4. American Society of Anesthesiologists physical status class 4E 5. Patients with coagulopathy (INR .1.5 and platelet count 6. Patients on vasopressor or ventilator support 7. Septic shock 8. Associated psychiatric or neurological illnesses 9. Pregnant patients 10. Polytrauma patients with associated other intraabdominal organ injury
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lenth of hospital stayTimepoint: from 4 days upto 2-3 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Time elapsed until resumption of oral feeding ï?· Time for removal of nasogastric tube, drains and catheter ï?· Duration of ileus ï?· Need for extra analgesics ï?· Need for reinsertion of nasogastric tube ï?· Re-admission, re-operation and mortality rate ï?· Medical complications- pulmonary complications, acute renal failure and urinary tract infections. ï?· Surgical complications- incidence of post-operative nausea and vomiting, SSITimepoint: from 1 day upto 2-3 weeks;To identify risk factors which are responsible for delayed discharge/ failure of ERASTimepoint: from 4 days upto 2-3 weeks | — |
Countries
India
Contacts
Public ContactVikram Kate
JIPMER
Outcome results
None listed