Intestinal Pseudo-Obstruction, Manipulation, Osteopathic, Osteopathic Medicine, Postoperative Care, Postoperative Complications, Postoperative Nausea and Vomiting
Conditions
Brief summary
We are conducting a randomized controlled trial the use of rib raising for post-operative ileus. Rib raising is an osteopathic manipulative technique (OMT). We will recruit all patients undergoing major abdominal surgery and once they have been enrolled, we will randomize them to receive daily rib raising or a control technique where we place hands on the back but do not apply any pressure. In preliminary studies, Rib raising has been shown to reduce post-operative ileus and hospital length of stay by up to 50%.
Interventions
PROCEDURERib raising and lumbar release
Rib raising per protocol described in arm description.
PROCEDURESham procedure
Sham procedure per protocol described in arm description
Sponsors
Rutgers, The State University of New Jersey
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
18 Years to 69 Years
Healthy volunteers
No
Inclusion criteria
* Major abdominal surgery (laparotomy, laparoscopy excluding simple laparoscopic appendectomy or laparoscopic cholecystectomy)
Exclusion criteria
* Open abdomen for \>72 hours * Prior history of major post-operative complications * Intolerance to anesthesia * Co-morbidities including osteoporosis and osteopenia * Spine or rib fractures * Pregnancy * Prisoners * History of osteopathic manipulation * Recruitment delayed beyond 48 hours * Surgeon requested exclusion
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Length of Stay | 0-14 days |
Secondary
| Measure | Time frame |
|---|---|
| Time to first meal | 0-14 days |
| Time to first flatus | 0-14 days |
| Time to first bowel movement | 0-14 days |
| Need for nasogastric tube postop | 0-14 days |
| Nausea/vomiting postop | 0-14 days |
Countries
United States
Outcome results
None listed