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Preoperative carbohydrate treatments have been widely adopted as part of enhanced recovery after surgery (ERAS) or fast-track surgery protocols. Although fast-track surgery protocols have been widely investigated and have been shown to be associated with improved postoperative outcomes, some individual constituents of these protocols, including preoperative carbohydrate treatment, have not been subject to such robust analysis.
Carbohydrate (sugar-containing) nutritional supplements have become a routine part of the package of care for people undergoing planned surgical procedures. the investigator wanted to discover whether carbohydrate supplements are a useful part of care packages used by doctors to improve recovery after planned cesarean section.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| preoperative carbohydrate loading | Experimental | Patients in the treatment group will receive a carbohydrate beverage (total carbohydrates equal to 12.6g/100 mL: 2.1 g monosaccharide, 10.0 g maltodextrin; 240 mOsm/L) in a dose of 800 mL. Patients will be free to drink the beverage from the evening before the operation and up to 2 hours before the induction of anesthesia |
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| Placebo | Placebo Comparator | The control group will receive plain water with the same volume and timing of treatment |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| preoperative carbohydrate loading | Drug | Patients in the treatment group will receive a carbohydrate beverage (total carbohydrates equal to 12.6g/100 mL: 2.1 g monosaccharide, 10.0 g maltodextrin; 240 mOsm/L) in a dose of 800 mL. Patients will be free to drink the beverage from the evening before the operation and up to 2 hours before the induction of anesthesia |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Number of days in the hospital for each participant between the groups. | 3 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| number of participants experienced nausea | Number of participants experienced nausea | 24 hours postoperative |
| Change in preoperative well-being assessment from baseline to one hour using the 100 millimeter (mm) visual analogue scale |
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Inclusion Criteria:
Exclusion Criteria:
pregnant female scheduled for elective cesarean section
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| Name | Affiliation | Role |
|---|---|---|
| hany f sallam, md | Aswan University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aswan University | Aswān | 81528 | Egypt |
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This is a randomized, placebo-controlled, study.
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The trial will be appropriately blinded; the participants, outcome assessors and the surgeon performing the procedure will be blinded to the medication type, which was used.
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| Placebo | Drug | The control group will receive plain water with the same volume and timing of treatment. |
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100 mm visual analogue scales for hunger, thirst, anxiety, fatigue and nausea administered on the morning of surgery prior to morning beverage consumption and 60 minutes after the beverage. All measurements will be assessed using the same scale starting at 0 to 100mm with 0 being the worst and 100 being the best and average being 85.
| ist 24 hours postoperative |
| neonatal blood glucose concentration at four and ten hours of age | measure neonatal blood glucose level at four and ten hours of age | 24 hours post operative |
| Neonates with plasma glucose level of less than 45 mg/dL between the groups | First umbilical cord blood sample will be taken for plasma glucose level of less than 45 mg/dL to note hypoglycemia between the groups. | ist 24 hours postoperative |