Effect of Modified ERAS Protocol on Clinical Outcomes in Pediatric Patients With Appendectomy

Summary

Acute appendicitis is the most common abdominal emergency with more than 15 million cases reported worldwide. Although appendectomy is considered a safe surgical procedure, the incidence of complications is up to 10%. The Enhanced Recovery After Surgery (ERAS) has developed guidelines to improve postoperative patient outcomes. The protocol, which consists of more than 20 interventions in the preoperative, intraoperative and postoperative periods, shows that early discharge can be possible with multidisciplinary care given to surgical patients without risking patient safety.

Conditions

• ERAS
• Surgery
• Appendicitis

Interventions

OTHER

Education and counselling

Education and counselling of patients and their parents

OTHER

Avoiding the use of nasogastric catheters, drains and urinary catheters

Avoiding the use of nasogastric catheters, drains and urinary catheters or/and removing them as early as possible

OTHER

Stimulation of intestinal motility in the postoperative period

Stimulation of intestinal motility in the postoperative period

OTHER

Initiation of oral intake in the early postoperative period

Initiation of oral intake in the early postoperative period

OTHER

Early removal of the patient by reducing postoperative IV fluid infusion

Early removal of the patient by reducing postoperative IV fluid infusion

OTHER

Initiation of early mobilization of the patient in the postoperative period

Initiation of early mobilization of the patient in the postoperative period

OTHER

Reducing opioid use and ensuring pain management

Reducing opioid use and ensuring pain management

OTHER

Implement nausea and vomiting prophylaxis

Implement nausea and vomiting prophylaxis

OTHER

Management of thirsty

Management of thirsty

OTHER

Management of fear and stress

Use of recommended non-pharmacological interventions in the management of fear and stress

Sponsors & Collaborators

• Karadeniz Technical University

  lead OTHER

Principal Investigators

• Buket MERAL, Msc · Karadeniz Technical University

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

6 Years

Max Age

17 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-10-01

Primary Completion

2024-05-01

Completion

2024-05-31

Countries

• Turkey (Türkiye)

Study Locations