adapted enhanced recovery after surgery pathway vs. standard care in patients undergoing emergency laparotomy for perforation peritonitis- Which is better?
Not Applicable
- Conditions
- Health Condition 1: K650- Generalized (acute) peritonitis
- Registration Number
- CTRI/2019/02/017537
- Lead Sponsor
- Jawaharlal Institute of Postgraduate Medical Education Research Government of India
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
All consecutive patients above 18 years of age, who present to
the emergency surgical team with perforation peritonitis,
diagnosed based on clinical examination and adjunct
investigations and planned for emergency laparotomy after
volume resuscitation.
Exclusion Criteria
1.Age less than 18 years
2. Uncontrolled comorbid diseases.
3. Localized peritonitis
4. American Society of Anesthesiologists physical status class 4E
5. Patients with coagulopathy (INR .1.5 and platelet count < 1 lakh)
6. Patients on vasopressor or ventilator support
7. Septic shock
8. Associated psychiatric or neurological illnesses
9. Pregnant patients
10. Polytrauma patients with associated other intraabdominal organ injury
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method enth of hospital stayTimepoint: from 4 days upto 2-3 weeks
- Secondary Outcome Measures
Name Time Method Time elapsed until resumption of oral feeding <br/ ><br>ï?· Time for removal of nasogastric tube, drains and catheter <br/ ><br>ï?· Duration of ileus <br/ ><br>ï?· Need for extra analgesics <br/ ><br>ï?· Need for reinsertion of nasogastric tube <br/ ><br>ï?· Re-admission, re-operation and mortality rate <br/ ><br>ï?· Medical complications- pulmonary complications, acute renal failure and <br/ ><br>urinary tract infections. <br/ ><br>ï?· Surgical complications- incidence of post-operative nausea and vomiting, SSITimepoint: from 1 day upto 2-3 weeks;To identify risk factors which are responsible for delayed discharge/ failure of <br/ ><br>ERASTimepoint: from 4 days upto 2-3 weeks