Health Condition 1: K639- Disease of intestine, unspecified
Conditions
Interventions
Intervention1: adapted ERAS protocol based care in emergency abdominal surgery: -pre-operative counselling prior to surgery-pre operative fasting duration will be kept less than 6 hrs - -avoidance of
Sponsors
Jawaharlal Institute of Postgraduate Medical Education And Research JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: All consecutive patients, who present to the emergency surgi-cal team for emergency abdominal surgery, diagnosed based on clinical examination and adjunct investigations and planned for emergency laparotomy after volume resuscitation.
Exclusion criteria
Exclusion criteria: 1.Age 2.Uncontrolled comorbid diseases. 3.Localized peritonitis 4.Duodenal ulcer perforation 5.American Society of Anesthesiologists physical status class 4E 6.Patients with coagulopathy (INR more than 1.5 and platelet count 7.Patients on vasopressor or ventilator support 8.Septic shock 9.Associated psychiatric or neurological illnesses 10.Pregnant patients 11.Polytrauma patients with associated non abdominal in-juries. 12.Patients undergoing multi visceral resection.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of hospitalization.Timepoint: 4 days to 2-3 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| duration of ileus and time to first bowel soundTimepoint: 6 hrs in ERAS (study) arm vs more than 6 hrs in Control arm;Time for mobilizationTimepoint: day 1 to 2-3 weeks;Time of drain removalTimepoint: The abdominal drain, if any, will be withdrawn when the drainage is less than 100 ml/day irrespective of resumption of oral feeds. from day 1 to 2-3 weeks;Time of nasogastric tube removalTimepoint: when the drain is less than 300ml/day from 1 day to 2-3 weeks;Time of removal of urinary catheterTimepoint: when urine output is adequate for 24 hrs from day 1 to 2-3 weeks;time to first fluid diet and first solid dietTimepoint: oral sips by 6 hrs and escalation to clear liquids by 12 hrs and liquid diet by 24 hrs in ERAS (study arm) | — |
Countries
India
Contacts
Public ContactDr Vikram Kate
Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed