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Randomised control trial of 150 paediatric patients aged between 3-8years. One group will receive a preoperative carbohydrate oral drink and the other group will receive current standard care (no drink) prior to undergoing tonsillectomy and/or adenoidectomy.
Outcomes to be reported will be: 1) patient and parent satisfaction; 2) post operative pain score at: recover, 1 hour post op, prior to discharge home and then day 1 postoperatively; 3) PONV rates in recovery, prior to discharge home and again on Day 1 postoperatively; 4) sleep quality night after surgery.
Children undergoing tonsillectomy and/or adenoidectomy will be consented via parents prior to the day of surgery and then randomised to 1 of 2 groups who will either receive the intervention or current standard care. Patients will be recruited from the ENT outpatient clinics in conjunction with the ENT surgeons.
Data collection will be undertaken with the aid of experience research assistants.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Carbohydrate loading | Active Comparator | Patients to receive an oral preoperative carbohydrate drink |
|
| No Carbohydrate loading | No Intervention | Current standard of care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Carbohydrate drink | Dietary Supplement | Children randomised to this group will receive a preoperative carbohydrate drink 90-120mins prior to surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Pain Score | Visual analogue scale (0-5) | day 1 postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Patient and parent satisfaction | Questionnaire: regarding how satisfied parents/ patients were with the treatment (satisfied or unsatisfied) | Day 1 postoperatively |
| Quality of sleep | Questionnaire: (scale Child slept very well, average night sleep, poor nights sleep) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jessica A Gray, MBBS, M.Med | Contact | 9024733721 | 3721 | jessica.gray@iwk.nshealth.ca |
| Ashley Zahavich | Contact | 9024733015 | 3015 | ashley.zahavich@nshealth.ca |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IWK Health Centre | Halifax | Nova Scotia | B3K 6R8 | Canada |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D020250 | Postoperative Nausea and Vomiting |
| D010549 | Personal Satisfaction |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
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Randomised control trial into 1 of 2 groups
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| Day 1 post operative |
| Postoperative Nausea and Vomiting | Questionnaire: vomiting, felt very nauseated, some nausea, none | 4 hours postoperatively |
| D012816 | Signs and Symptoms |
| D009325 | Nausea |
| D012817 | Signs and Symptoms, Digestive |
| D014839 | Vomiting |
| D001519 | Behavior |