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Evaluation of Multidisciplinary Recovery After Surgery Program in Orthopedics and Traumatology

NCT03822247 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100

Last updated 2019-02-19

No results posted yet for this study

Summary

The aim of the recovery protocol is to reduce surgical trauma, postoperative pain, and complications, shorten hospital treatment and improve postoperative recovery. Orthopedic and traumatology surgeries are often followed by a long-lasting recovery with difficulties of everyday functioning. Up to this time, only a few publications of multidisciplinary protocol in orthopedics and traumatology have been published, mostly to improve the care of patients after elective surgical procedures. The goal of multidisciplinary after surgery recovery program in orthopedics and traumatology is to improve the care of both urgent and elective patients using standardized, multi-professional care programs. It focuses on patient education, preoperative respiratory training, adequate nutritive and hemodynamic support, modified anesthesia protocol, prevention of postoperative pain, nausea and vomiting, and early postoperative delirium detection. The implementation of the program will reduce the rate of postoperative complications and the rate of rehospitalization, enhance the recovery after surgery and increase the satisfaction with the treatment.

Conditions

  • Hip Fractures
  • Knee Fracture
  • Hip Arthritis
  • Knee Arthritis

Interventions

PROCEDURE

Multidisciplinary Recovery Program

Preoperative care: * Patient's education * Providing respiratory training * Assessment of nutritional status * Application of compression stockings * Thromboembolism prophylaxis by low molecular weighted heparin * Induction of hemodynamic support 12 hours before the surgery * Oral carbohydrate solution loading until 2 hours before the surgery Intraoperative care: * Maintaining normothermia * Multimodal prevention of postoperative nausea and vomiting * Use of spinal anesthesia * Prevention of excessive blood loss * Local anesthetic infiltration Postoperative care: * Active pain control * Early mobilization * Early onset of oral nutrition * Early delirium detection * Application of compression stockings

Sponsors & Collaborators

  • Klinički Bolnički Centar Zagreb

    lead OTHER

Principal Investigators

  • Nikica Daraboš · Head of Department of traumatology, bone and joint surgery

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2018-12-01
Primary Completion
2019-08-01
Completion
2020-01-01

Countries

  • Croatia

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03822247 on ClinicalTrials.gov