Health Condition 1: R739- Hyperglycemia, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients requiring mastoidectomy and tympanoplasty for Chronic suppurative otitis media -ASA(PS),American Society of Anesthesiologists(Physical status) class 1 or 2 -Euthyroid -Elective surgery
Exclusion criteria
Exclusion criteria: -Known diabetic patients(fasting blood sugar >126, postprandial blood sugar > 200, HbA1c > 6.5) -Chronic steroid therapy -History of allergy to dexamethasone -ASA(PS)American Society of Anesthesiologists(Physical status) 3,4 -Pregnancy -Duration of surgery more than 4 hrs -h/o gastric or duodenal ulcer -Significant comorbidities-hepatorenaldysfunction, malignancy, immunosuppression.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Glycemic profile for 72 hrs after a single dose of dexamethasone in patients undergoing middle ear surgeryTimepoint: pre-op and Post op( 2 hours after dexamethasone administration):- point-of-care (finger-stick) glucose determinations ô??¾ POD(Post operative day) 1, 2, 3:- Fasting and postprandial point-of-care (finger-stick) glucose determinations | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Postoperative Nausea and Vomiting 2.Pain 3.Fever 4.Post-operative dizziness 5.Insulin â?? dose and frequency of administration 6.Hospital length of stay 7.Surgical site infectionTimepoint: 1-Incidence of PONV will be noted on POD 1,2,3 2:- Pain will be noted on POD 1,2,3 3-Fever will be noted on POD 1,2,3 4-Dizziness will be noted on POD(Post operative day)1, 2, 3 5-At the time of discharge-dose and frequency of insulin administrated 6. Hospital length of stay- noted at the time of discharge 7--Surgical site infection will be assessed any point during the hospital stay | — |
Countries
India
Contacts
Jubilee Mission Medical College and Research Institute Thrissur