Enhanced Recovery After Bariatric Surgery(ERAS) in the Morbidly Obese Using Evidence-Based Clinical Pathways: A Prospective Observational Non-randomized Comparative Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Functional hospital stay
研究概览
简要总结
Recently, the number of bariatric surgery is increasing but ERAS (Enhanced Recovery After Surgery) protocol for bariatric surgery needs revision with evidence. So we investigated usefulness of ERAS protocol for bariatric surgery in morbidly obese patients.
详细描述
Patients undergoing elective laparoscopic bariatric surgery are going to be recruited and divided into 2 groups: Group E will receive ERAS protocol, and Group C will receive standard perioperative care.
ERAS protocol comprises 8 hours of fasting and ingestion of oral carbohydrate 2 hour before surgery, TIVA(Total intra-venous anesthesia), TAP(transversus abdominis plane) block and IV-PCA using NSAIDs after surgery, and resumption of oral intake 2 hour after surgery.
Conventional anesthesia is composed of 8 hours of fasting, inhalation anesthesia, IV-PCA using NSAIDs, and resumption oral intake 6 hour after surgery.
In both groups, gastric ultrasonography will be used to measure gastric volume before surgery.
Functional hospital stay will be recorded from the end of surgery until all discharge criteria had been met. Pain scores will be recorded at 30 minutes, 4 hours, and 24 hours after surgery. Also, nausea and vomiting, time to ambulation, will be documented. After the patients are discharged, their charts are going to be reviewed and their medical expenses will be documented.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 19 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists grade 1 ~ 3
- •BMI(Body Mass Index) ≥30
- •Scheduled for elective laparoscopic bariatric surgery
排除标准
- •American Society of Anesthesiologists grade 4 or 5
- •History of abdominal surgery
结局指标
主要结局
Functional hospital stay
时间窗: from end of surgery, until all discharge criteria had been met (an average of 3 days)
time from the end of surgery until all discharge criteria had been met
次要结局
- Time to ambulation(Time to ambulation (an average of 1 day))
- Postoperative Pain score(30 minutes, 4 hours, and 24 hours after end of surgery)
- Postoperative nausea and vomiting(until patient discharge (an average of 3 days))
- Medical expenses(until patient discharge (an average of 4 days))
- Rescue drug and dosage(30 minutes, 4 hours, and 24 hours after end of surgery)
研究者
BON WOOK KOO
assistnat professor
Seoul National University Bundang Hospital