Compliance With Enhanced Recovery After Surgery Protocol on Early Mobilization After Colorectal Surgery in Tertiary Hospital in Indonesia
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Enhanced Recovery After Surgery
- Sponsor
- Indonesia University
- Enrollment
- 343
- Locations
- 1
- Primary Endpoint
- Early mobilization
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Early mobilization is an important factor in increasing postoperative colorectal surgeries outcome. There are four components held by anesthesiologist in Enhanced Recovery After Surgery protocol for colorectal surgery in our hospital: post operative nausea and vomiting (PONV) prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management. Although early mobilization affected by postoperative pain, vomiting and nausea, and fluid balance management, nonetheless, there is no clear evidence of how much each of these components will affect early mobilization.
Detailed Description
Early mobilization is an important factor in increasing postoperative colorectal surgeries outcome. There are four components held by anesthesiologist in ERAS protocol for colorectal surgery in our hospital: PONV prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management. Although early mobilization affected by postoperative pain, vomiting and nausea, and fluid balance management, nonetheless, there is no clear evidence of how much each of these components will affect early mobilization. This study was a retrospective cohort study by collecting secondary data from patients underwent elective colorectal surgery in our hospital from January 2020 to December 2022. The outcomes assessed were early mobilization rate and factors affecting it (PONV prophylaxis, intraoperative fluid management, intraoperative multimodal analgesia, and postoperative opioid-free pain management).
Investigators
Aldy Heriwardito
Principal Investigator
Indonesia University
Eligibility Criteria
Inclusion Criteria
- Not provided
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Early mobilization
Time Frame: Within 24 hours after surgery
Number of patients who can walk within 24 hours after surgery
Intraoperative fluid management
Time Frame: Given during intraoperative period
Number of patients who achieved fluid balance of zero or near zero
PONV prophylaxis
Time Frame: Given during intraoperative period
Number of patients who received prophylaxis given for PONV
Postoperative pain management
Time Frame: Immediately after surgery until discharge, assessed until hospital discharge, up to 50 days
Number of patients who received postoperative pain management without opioid
Multimodal analgesia
Time Frame: Given during intraoperative period
Number of patients who got multimodal analgesia, which consists of epidural anesthesia or peripheral nerve block