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Completed

NCT Number: NCT06065696

Enhanced Recovery After Surgery Protocol on Early Mobilization After Colorectal Surgery

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.

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Key information

Conditions

Enhanced Recovery After Surgery Agnosia Anesthesia Colorectal Early Mobilization Nervous System Diseases Neurobehavioral Manifestations Neurologic Manifestations Pathological Conditions, Signs and Symptoms Perceptual Disorders Signs and Symptoms Surgery-Complications

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Cipto Mangunkusumo Central National Hospital

Jakarta Pusat, DKI Jakarta, 10430, Indonesia

About this study

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).

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patient underwent colorectal surgery in Cipto Mangunkusumo Hospital from 2020 to 2022
  • Age 18-60 years old
  • American Society of Anesthesiologist (ASA) physical status 1, 2, and 3

Exclusion criteria

  • Patients who were not intubated on postoperative period
  • Patients who had physical limitation during preoperative mobility test

Treatment and study plan

Early mobilization

Procedure

Patients who received early mobilization in postoperative period

No early mobilization

Procedure

Patients who did not receive early mobilization in postoperative period

Primary outcomes

  1. Early mobilization

    Time frame: Within 24 hours after surgery

    Number of patients who can walk within 24 hours after surgery

  2. PONV prophylaxis

    Time frame: Given during intraoperative period

    Number of patients who received prophylaxis given for PONV

  3. Multimodal analgesia

    Time frame: Given during intraoperative period

    Number of patients who got multimodal analgesia, which consists of epidural anesthesia or peripheral nerve block

  4. Intraoperative fluid management

    Time frame: Given during intraoperative period

    Number of patients who achieved fluid balance of zero or near zero

  5. 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

Sponsors and collaborators

Lead sponsor

Indonesia University

Other

Registry information

Official study title

Compliance With Enhanced Recovery After Surgery Protocol on Early Mobilization After Colorectal Surgery in Tertiary Hospital in Indonesia

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Oct 4, 2023
Registry last updated
Oct 4, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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