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A prospective randomized study of patients undergoing Roux-en-Y gastric bypass will be randomized in 2 groups: those following an ERAS program and those ones following a standard protocol.
Postoperative pain 24 hours after surgery and hospital stay will be assessed.
A prospective randomized study of patients undergoing Roux-en-Y gastric bypass will be randomized in 2 groups: those following an Enhanced Recovery After Surgery (ERAS) program and those ones following a standard protocol. The ERAS program implies early liquids oral intake, early deambulation and multimodal analgesia (port sites infiltration with Bupivacain 0.5% associated with intravenous analgesia).
Postoperative pain 24 hours after surgery, as measured by Visual Analogic Scale, and hospital stay will be assessed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ERAS protocol | Experimental | ERAS protocol includes early oral intake (6 hours after surgery), early deambulation (6h after surgery) and multimodal analgesia (port-sites infiltration with Bupivacain 0.5% combined with postoperative intravenous analgesia) |
|
| Standard care | Active Comparator | Oral intake and early deambulation begins 24h after surgery and analgesia consists in only intravenous drugs |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ERAS protocol | Combination Product | ERAS protocol includes early oral intake and deambulation and multimodal analgesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain | Evaluated by Visual Analogic Scale | 24 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital stay | Days | Days until patients´discharge: 2 days or more than 2 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jaime Ruiz-Tovar | Contact | 0034630534808 | jruiztovar@gmail.com | |
| Alejandro Garcia | Contact | 0034656431921 | alegarmuna@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Manuel Duran | Hospital Rey Juan carlos | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| General Hospital Elche | Recruiting | Elche | Alicante | 03203 | Spain |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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Nurse evaluating postoperative pain is blinded to the protocol applied
| Standard care | Combination Product | Oral intake and deambulation 24h after surgery and only intravenous analgesia. |
|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |