Colorectal Disease
Conditions
Keywords
carbohydrate, quality of recovery(QOR) 40, enhanced recovery after surgery(ERAS)
Brief summary
Preoperative midnight NPO is a traditional method for preventing aspiration during general anesthesia. However, recent studies reported that drinking carbohydrate beverage, three hours prior the surgery helps reducing patients starving, uncomfortment, and fatigue without other complication. QOR 40 is developed for evaluating patients' recovery condition regarding physical, psychological, and social aspects. Enhanced Recovery After Surgery(ERAS) is a concept for reducing patients' hospital stay and helping recovery. Studies showed that drinking carbohydrate beverage made better recovery of bowel function and shorter hospital stay in colorectal surgeries. However, the effect of carbohydrate drink for laparoscopic surgery is not yet proved. Therefore, the investigators will show the effect of carbohydrate drinking through this study.
Interventions
Carbohydrate group drinks carbohydrate beverage 400ml(9PM\ MN) the day before the surgery and 200ml three hours before the surgery.
NPO group does not drink any water from the MN before the surgery.
Sponsors
Study design
Eligibility
Inclusion criteria
* patients undergoing laparoscopic colorectal surgery, * 20\ 85 year-old patients
Exclusion criteria
* diabetes mellitus * Inability to consume clear fluids * GERD or gastrointestinal obstruction * Liver cirrhosis * corticosteroid treatment * ASA\>4 * starting surgery five and more hours after drinking carbohydrate beverage * pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| total score of a survey using Quality of Recovery 40 | 1 day |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| amount of perioperative urine output | 1 day | measure with ml |
| time to bowel function recovery | 1 day | — |
| amount of perioperative water intake | 1 day | measure with ml |
| hospital stay duration from operation to discharge | 1 month | — |
Countries
South Korea