Enhanced Recovery for Patients Undergoing Radical Cystectomy.
NCT05210673 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2022-02-11
Summary
Investigators hypothesize that with the use of enhanced recovery of surgery (ERAS), the postoperative hospital stay after radical cystectomy is reduced, and also postoperative complications are decreased.
Conditions
- Post Procedural Discharge
Interventions
- OTHER
-
ERAS
Preoperative: Preoperative explanation of ERAS. Preoperative medical optimization. Smoking cessation 4-8 weeks before surgery. Nutritional status assessment. Preoperative fasting: 2hours for Clear fluids and water, 6hours for Semi-solid foods and 8 hours for Solid food. Preoperative carbohydrate loading. Pre-anesthetic medication: Avoid long active sedatives. Thromboembolic prophylaxis and Compression stockings Intraoperative: Antimicrobial prophylaxis and skin preparation. Epidural analgesia. Prevention of intraoperative hypothermia. Intraoperative fluid management. Minimize incision. Drain strategy Postoperative: Nasogastric intubation. Early oral intake. Early mobilization. Prevention of postoperative ileus through. Prevention of postoperative nausea and vomiting. Multimodal opioid sparing analgesia. Discharge criteria: Patients have resumed adequate oral intake and normal bowel function, Effective oral pain management and No other clinical or biochemical concerns
- OTHER
-
Non ERAS pathway
standard preoperative preparation intraoperative: combined general and epidural anesthesia postoperative standard care
Sponsors & Collaborators
-
Ezzeldin Saleh Ibrahim
collaborator UNKNOWN -
asmaa mohamed hamza
collaborator UNKNOWN -
asmaa ibrahim mohamed
collaborator UNKNOWN -
mohamed marzouk abdallah
collaborator UNKNOWN -
Menoufia University
lead OTHER
Principal Investigators
-
ashraf M eskandr · menoufia faculty of medicine
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 40 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2019-09-01
- Primary Completion
- 2021-09-30
- Completion
- 2021-09-30
Countries
- Egypt
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