Comparison of routine care Vs assisted recovery based care in patients undergoing emergency abdominal surgery.

Not Applicable

Conditions: Health Condition 1: K639- Disease of intestine, unspecified

Registration Number: CTRI/2021/05/033558

Lead Sponsor: Jawaharlal Institute of Postgraduate Medical Education And Research JIPMER

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Open to Recruitment

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

All consecutive patients, who present to the emergency surgi-cal team for emergency abdominal surgery, diagnosed based on clinical examination and adjunct investigations and planned for emergency laparotomy after volume resuscitation.

Exclusion Criteria

1.Age <18 years

2.Uncontrolled comorbid diseases.

3.Localized peritonitis

4.Duodenal ulcer perforation

5.American Society of Anesthesiologists physical status class 4E

6.Patients with coagulopathy (INR more than 1.5 and platelet count < 1 lakh)

7.Patients on vasopressor or ventilator support

8.Septic shock

9.Associated psychiatric or neurological illnesses

10.Pregnant patients

11.Polytrauma patients with associated non abdominal in-juries.

12.Patients undergoing multi visceral resection.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
ength of hospitalization.Timepoint: 4 days to 2-3 weeks

Secondary Outcome Measures

Name	Time	Method
duration of ileus and time to first bowel soundTimepoint: 6 hrs in ERAS (study) arm vs more than 6 hrs in Control arm;Time for mobilizationTimepoint: day 1 to 2-3 weeks;Time of drain removalTimepoint: The abdominal drain, if any, will be withdrawn when the drainage is less than 100 ml/day irrespective of resumption of oral feeds. <br/ ><br>from day 1 to 2-3 weeks;Time of nasogastric tube removalTimepoint: when the drain is less than 300ml/day <br/ ><br>from 1 day to 2-3 weeks;Time of removal of urinary catheterTimepoint: when urine output is adequate for 24 hrs <br/ ><br>from day 1 to 2-3 weeks;time to first fluid diet and first solid dietTimepoint: oral sips by 6 hrs and escalation to clear liquids by 12 hrs and liquid diet by 24 hrs in ERAS (study arm) <br/ ><br>