Fast Track Surgery for Abdominal Surgery in Rwanda

U

University of Rwanda

Status

Completed

Conditions

Elective Surgical Procedures

Treatments

Other: Fast track surgery
Other: Conventional management

Study type

Interventional

Funder types

Other

Identifiers

NCT03067519
URwanda

Details and patient eligibility

About

Fast Track Surgery (FTS) was started in colorectal surgery, but was later applied to other surgical fields. Core elements include epidural or regional anaesthesia, perioperative fluid management, minimally invasive surgical techniques, pain control, and early mobilization and feeding. Beneficial effects of FTS include reduced costs, early hospital discharge, and increased availability of hospital beds.The main aim of this study was to explore the efficacy of FTS in the Rwandan surgical setting and to demonstrate the benefits of FTS. it is study comparing the management of surgical patients using traditional management and fast track surgery. the study was done on patients undergoing elective abdominal surgery only

Full description

Fast track surgery (FTS) uses a multifaceted approach to reduce the stress response to surgery, thereby improving outcomes and decreasing length of hospital stay. The core elements of FTS include: epidural or regional anesthesia, peri-operative fluid management, minimally invasive techniques, optimal pain control, early initiation of oral feeding and early mobilization. The combination of these approaches has led to a significant reduction in complication rates, morbidity and mortality rates, duration of hospital stay and costs of hospitalization, and greatly improved postoperative recovery The main aim of this study was to explore the efficacy of FTS in the Rwandan surgical setting and to demonstrate the benefits of FTS. This randomized control trial was conducted in CHUK over a period of three months (October - December, 2015). For patients in the FTS arm, the study investigator would assess patients on a daily basis and work with the primary surgical team. The study investigator would prompt the primary surgical team for early feeding, mobilization, pain control and fluid management recommendations. Data were collected on variables including postoperative analgesia, mobilisation, resuming oral feeding, hospital stay and complications. The primary outcome was duration of postoperative hospital stay and secondary outcome was major complications.

Enrollment

62 patients

Sex

All

Ages

15+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

patients admitted for elective abdominal surgery

Exclusion criteria

patients with comorbidity, American Society of Anesthesiologists score greater than 2

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

62 participants in 2 patient groups

Fast track surgery
Experimental group
Description:
Intervention: Fast track surgery patients underwent early feeding and mobilization after surgery
Treatment:
Other: Fast track surgery
Conventional management
Active Comparator group
Description:
usual postoperative care per surgeon
Treatment:
Other: Conventional management

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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