Enhanced Recovery After Surgery Protocol on Early Mobilization After Colorectal Surgery

University of Indonesia (UI)

Status: Completed

Conditions: Surgery-Complications; Early Mobilization; Colorectal; Enhanced Recovery After Surgery; Anesthesia

Treatments: Procedure: No early mobilization; Procedure: Early mobilization

Study type: Observational

Funder types: Other

Identifiers

NCT06065696

IndonesiaUAnes112

Details and patient eligibility

About

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.

Full description

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).

Enrollment: 343 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

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

Trial design

343 participants in 2 patient groups

Early mobilization

Description:

Patients who achieved early mobilization after colorectal surgery

Treatment:

Procedure: Early mobilization

No early mobilization

Description:

Patients who did not achieve early mobilization after colorectal surgery

Treatment:

Procedure: No early mobilization