MedPath

Comparison of adapted enhanced recovery after surgery pathway vs. standard care in patients undergoing emergency small bowel surgery

Phase 2
Completed
Conditions
Health Condition 1: null- Patients undergoing emergency small bowel surgeries
Registration Number
CTRI/2017/04/008294
Lead Sponsor
JIPMER
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
70
Inclusion Criteria

Patients suspected to have small bowel pathology based on clinical presentation and adjunct investigations and planned for emergency laparotomy.

Exclusion Criteria

Age <18 years, American society of anesthesiologists class 3 or 4, Irreversible septic shock, Pregnancy, Polytrauma patient with associated other intraabdominal organ injury.

Intra-operatively, the patients who require any procedure other than simple closure of small bowel perforation/ small bowel resection and anastomosis/stoma will be excluded.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
ength of hospital stayTimepoint: 30 days
Secondary Outcome Measures
NameTimeMethod
Time elapsed until resumption of oral feed, Time for removal of nasogastric tube, drains and catheter. <br/ ><br>Duration of ileus, Need for extra analgesics, Need for reinsertion of nasogastric tube, Re-admission, re-operation and mortality rate. Medical complications- pulmonary complications, acute renal failure and urinary tract infections. Surgical complications- incidence of post-operative nausea and vomiting graded using the Apfel score17, superficial or organ type SSI (surgical site infection). <br/ ><br>Timepoint: 30 days
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