Surgical patients Perioperative care Preoperative fasting Postoperative complications Aspiration pneumonia Surgical site infection Coconut water Carbohydrate loading Preoperative nutrition Enhanced recovery Anesthesia Surgery Endoscopy Aortic aneurysm
Conditions
Interventions
Participants receive oral coconut water 250 ml at 20 00 on the evening before surgery and an additional dose 2 to 4 hours before anesthesia as a preoperative carbohydrate drink in addition to standard
Experimental Dietary Supplement,No Intervention No treatment
Coconut water carbohydrate loading,Standard preoperative fasting
Sponsors
Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. Adults aged 18 to 65 years 2. Patients undergoing elective general surgery between October 2022 and May 2024 3. Patients who provide written informed consent by themselves or their legally authorized representatives
Exclusion criteria
Exclusion criteria: 1. Known allergy to coconut 2. Hemodynamic instability or shock 3. Immunocompromised status and type 2 diabetes mellitus with HbA1c 7 percent or higher 4. Impaired consciousness 5. Obesity 6. Gastrointestinal obstruction 7. Conditions associated with a high risk of aspiration, such as bowel obstruction or gastroesophageal reflux disease 8. Participants who decline or withdraw from the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Aspiration pneumonia At 6, 24, 48, and 72 hours after surgery Chest X-ray | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of recovery At 24, 72 hours, and 2 weeks after surgery QOR 35 questionnaire score | — |
Countries
Thailand
Contacts
Public ContactChairat Supsamutchai
Faculty of Medicine Ramathibodi Hospital
Outcome results
None listed