Enhanced Recovery After Surgery Protocol on Early Mobilization After Colorectal Surgery
Study Details
Study Description
Brief Summary
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed 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).
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Early mobilization Patients who achieved early mobilization after colorectal surgery |
Procedure: Early mobilization
Patients who received early mobilization in postoperative period
|
| No early mobilization Patients who did not achieve early mobilization after colorectal surgery |
Procedure: No early mobilization
Patients who did not receive early mobilization in postoperative period
|
Outcome Measures
Primary Outcome Measures
- Early mobilization [Within 24 hours after surgery]
Number of patients who can walk within 24 hours after surgery
- PONV prophylaxis [Given during intraoperative period]
Number of patients who received prophylaxis given for PONV
- Multimodal analgesia [Given during intraoperative period]
Number of patients who got multimodal analgesia, which consists of epidural anesthesia or peripheral nerve block
- Intraoperative fluid management [Given during intraoperative period]
Number of patients who achieved fluid balance of zero or near zero
- Postoperative pain management [Immediately after surgery until discharge, assessed until hospital discharge, up to 50 days]
Number of patients who received postoperative pain management without opioid
Eligibility Criteria
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
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Cipto Mangunkusumo Central National Hospital | Jakarta Pusat | DKI Jakarta | Indonesia | 10430 |
Sponsors and Collaborators
- Indonesia University
Investigators
- Principal Investigator: Aldy Heriwardito, Consultant, Indonesia University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- IndonesiaUAnes112