The effect of water or a carbohydrate drink on patient discomfort and satisfaction before elective gynaecology surgery

Preoperative oral water as opposed to free access to oral carbohydrate drink in elective gynaecology surgery: a randomised trial

Status

Recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN89731226

Enrollment

260

Registered

2021-05-17

Start date

2021-05-24

Completion date

Unknown

Last updated

2022-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Elective gynaecology surgery Surgery

Interventions

Participants will receive usual care. Prior to the operation they will be seen by the anaesthetic team and assessed after which they will be given a date for elective admission to the ward 1 day prior

Eligibility

Sex/Gender

Female

Inclusion criteria

Inclusion criteria: 1. Patients planned for elective gynecology surgery 2. Age more than 18 years old 3. Receiving general anesthesia 4. Body Mass Index (BMI) <35 kg/m² 5. ASA I-II

Exclusion criteria

Exclusion criteria: 1. BMI >35 kg/m² 2. Abdominal mass >28 weeks palpable 3. Gastroesophageal reflux disease 4. H/O gastrointestinal surgery 5. Emergency gynecology surgery 6. Type 1 and type 2 diabetes mellitus 7. Psychiatric disorder (unable to give consent) 8. Anticipated ICU admission 9. Anticipated difficult Intubation 10. Suspected COVID-19 infection or COVID-19 positive

Design outcomes

Primary

Measure	Time frame
1. Hunger measured using verbal numerical rating scale (VNRS) 0 to 10 at OT call time 2. Patient satisfaction measured using VNRS 0 to 10 at OT call time	—

Secondary

Measure	Time frame
Current secondary outcome measures as of 11/01/2022: 1. Measured using a questionnaire: 1.1. Feeling thirsty at OT call time measured using a verbal numerical rating scale (VNRS) 0 to 10 at OT call time (baseline) 1.2. Feeling nauseous at OT call time measured using verbal numerical rating scale VNRS 0 to 10 OT call time (baseline) 1.3. Vomiting (yes or no) measured at OT call time and at first oral feed postoperatively (baseline) 2. Capillary blood sugar measured using a capillary blood glucose monitoring device at OT call time (baseline) 3. Measured using urine dipstick at OT call time (baseline) 3.1. Ketonuria: nil, 1+, 2+, 3+, 4+ at OT call time (baseline) 3.2. Glycosuria: nil, 1+, 2+, 3+, 4+ at OT call time (baseline) 4. Post-general anesthesia (GA) to intraoperative interval: blood pressure pre GA (baseline), lowest intraoperative blood pressure measured on an automated blood pressure monitoring device, medication needed to maintain blood pressure in OT prior to intubation measured using medical records 5. Usage of antiemetics measured using chart on drug dosage and number of times administered preoperative, intraoperative and postoperative 6. Post-operation time to first oral feed and first flatus measured using medical records at baseline 7. Resting pain score measured using VNRS 0 to 10 on day 1 before mobilization (baseline) 8. Interval from surgery to ambulation measured using medical records at baseline 8.1. Post-operation time to sitting up, measured at baseline 8.2. Post-operation time to walking, measured at baseline 8.3. Passing urine for the first time after removal of catheter, measured at baseline 9. Fever (=38°C) measured using medical records postoperatively (baseline)	—

Measure

Time frame

Current secondary outcome measures as of 11/01/2022: 1. Measured using a questionnaire: 1.1. Feeling thirsty at OT call time measured using a verbal numerical rating scale (VNRS) 0 to 10 at OT call time (baseline) 1.2. Feeling nauseous at OT call time measured using verbal numerical rating scale VNRS 0 to 10 OT call time (baseline) 1.3. Vomiting (yes or no) measured at OT call time and at first oral feed postoperatively (baseline) 2. Capillary blood sugar measured using a capillary blood glucose monitoring device at OT call time (baseline) 3. Measured using urine dipstick at OT call time (baseline) 3.1. Ketonuria: nil, 1+, 2+, 3+, 4+ at OT call time (baseline) 3.2. Glycosuria: nil, 1+, 2+, 3+, 4+ at OT call time (baseline) 4. Post-general anesthesia (GA) to intraoperative interval: blood pressure pre GA (baseline), lowest intraoperative blood pressure measured on an automated blood pressure monitoring device, medication needed to maintain blood pressure in OT prior to intubation measured using medical records 5. Usage of antiemetics measured using chart on drug dosage and number of times administered preoperative, intraoperative and postoperative 6. Post-operation time to first oral feed and first flatus measured using medical records at baseline 7. Resting pain score measured using VNRS 0 to 10 on day 1 before mobilization (baseline) 8. Interval from surgery to ambulation measured using medical records at baseline 8.1. Post-operation time to sitting up, measured at baseline 8.2. Post-operation time to walking, measured at baseline 8.3. Passing urine for the first time after removal of catheter, measured at baseline 9. Fever (=38°C) measured using medical records postoperatively (baseline)

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Countries

Malaysia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026