The effect of preoperative oral carbohydrate loading on body temperature in elective caesarean delivery under spinal anaesthesia: A randomized controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Decreased change in the body temperature intraoperatively
研究概览
简要总结
Hypothermia after surgery is a common complication. This leads to redistribution of central heat to the periphery and overall heat loss. The clinical consequences include patient discomfort, shivering, platelet dysfunction, coagulopathy, and increased vasoconstriction associated with a higher risk of wound infection. Nutrient induced thermogensis may prevent intraoperative hypothermia. Oral carbohydrate loading two hours before surgery may facilitate body temperature maintenance during caesarean section.
Aim: Oral carbohydrate loading two hours prior to caesarean delivery may decrease the change in the body temperature intraoperatively.
Objectives:
-
To evaluate the effect of preoperative oral carbohydrate loading on intraoperative body temperature.
-
To assess effect of carbohydrate drink intraoperative and postoperative shivering.
-
To assess effect of carbohydrate drink on incidence of nausea and vomiting in postoperative period.
Materials and methods: A Prospective Randomized controlled trial.
Sample size: 30 patients in each group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 40.00 Year(s)（—）
- 性别
- Female
入选标准
- •ASA II undergoing elective caesarean section under spinal anaesthesia.
排除标准
- •1 Preoperative hyperthermia (>38°C) or hypothermia (<36 °C) 2 BMI>30 Kg/m2 3 Patients with diabetes mellitus, hypertension, hypothyroid or hyperthyroid, anemia 4 Patients with delayed gastric emptying, hyperemesis gravidarum until late pregnancy, or consumption of drugs that affect gastrointestinal motility within 3 days before surgery.
- •5 Patients who failed to drink the carbohydrate drink as prescribed before surgery 6 Patients with ear disease 7 Surgical time >1.5 hours 8 Intraoperative blood transfusion.
结局指标
主要结局
Decreased change in the body temperature intraoperatively
时间窗: -15 minutes prior to caesarean delivery | -Immediately after induction | -At the end of delivery | -1 hour 30 minutes after delivery
次要结局
- • Decreased incidence of intra operative & postoperative shivering(• Decreased incidence of nausea & vomiting in postoperative period)