Postoperative Pain, Postoperative Nausea, Satisfaction, Sleep, Postoperative Complications
Conditions
Brief summary
Randomised control trial of 150 paediatric patients aged between 3-8years. One group will receive a preoperative carbohydrate oral drink and the other group will receive current standard care (no drink) prior to undergoing tonsillectomy and/or adenoidectomy. Outcomes to be reported will be: 1) patient and parent satisfaction; 2) post operative pain score at: recover, 1 hour post op, prior to discharge home and then day 1 postoperatively; 3) PONV rates in recovery, prior to discharge home and again on Day 1 postoperatively; 4) sleep quality night after surgery.
Detailed description
Children undergoing tonsillectomy and/or adenoidectomy will be consented via parents prior to the day of surgery and then randomised to 1 of 2 groups who will either receive the intervention or current standard care. Patients will be recruited from the ENT outpatient clinics in conjunction with the ENT surgeons. Data collection will be undertaken with the aid of experience research assistants.
Interventions
DIETARY_SUPPLEMENTCarbohydrate drink
Children randomised to this group will receive a preoperative carbohydrate drink 90-120mins prior to surgery
Sponsors
Jessica Gray
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Randomised control trial into 1 of 2 groups
Eligibility
Sex/Gender
ALL
Age
3 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
* Undergoing Tonsillectomy and/or adenoidectomy * consented to undertake preop carbohydrate drink and follow up procedures
Exclusion criteria
* Increased risk of aspiration or unable to swallow liquids * outside age range * non-consent to undertake treatment or follow up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain Score | day 1 postoperatively | Visual analogue scale (0-5) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient and parent satisfaction | Day 1 postoperatively | Questionnaire: regarding how satisfied parents/ patients were with the treatment (satisfied or unsatisfied) |
| Quality of sleep | Day 1 post operative | Questionnaire: (scale Child slept very well, average night sleep, poor nights sleep) |
| Postoperative Nausea and Vomiting | 4 hours postoperatively | Questionnaire: vomiting, felt very nauseated, some nausea, none |
Countries
Canada
Contacts
Primary ContactJessica A Gray, MBBS, M.Med
Backup ContactAshley Zahavich
Outcome results
None listed