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The goal of this clinical trial is to determine the length of hospital stay in patients using multimodal analgesia with or without ERAS protocol scheduled for elective laparoscopic gynecological surgeries
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group C | Active Comparator |
| |
| Group E | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Enhanced Recovery After Surgery | Drug | Preoperatively ERAS protocol includes, No solid food for 6 hours before procedure; 800 ml (fantomalt powder) Carbohydrate drink 8 hours before surgery; 400 ml (fantomalt powder) 2 hours before surgery; Celecoxib 200g 1 hour before surgery . Intraoperatively, on induction lidocaine 1.5 mg/kg and Fentanyl 1 to 2 mcg/kg followed by IV lidocaine infusion at 1.5 mg/kg/h. |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | Post-operative length of hospital stay, measured in hours from the patient's arrival in the recovery room until 72 hours after surgery. | From arrival in the recovery room post-surgery until 72 hours after surgery. |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain score | Post operative pain score will be measures using NRS (Numerical Rating Scale). Eleven points pain scale measures from 0-10, where "0" is no pain and "10" is the worst possible pain | 4 hours, 8 hours, 12 hours, 24 hours, 48 hours & 72 hours postoperatively |
| Amount of opioid used in patient controlled analgesia |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ali Sarfraz Siddiqui, MBBS, MCPS, FCPS, FIPP, MHPE | Contact | +922134864397 | 4397 | sarfraz.siddiqui@aku.edu |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aga Khan University, Karachi, Pakistan | Recruiting | Karachi | Sindh | Pakistan |
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| ID | Term |
|---|---|
| D000080482 | Enhanced Recovery After Surgery |
| ID | Term |
|---|---|
| D019990 | Perioperative Care |
| D013514 | Surgical Procedures, Operative |
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| Control | Drug | Preoperatively, NPO 6 hours before the procedure Intraoperatively, on induction Nabuphine 0.1mg/kg |
|
Total Nalbuphine consumption in 12 hours (in milligrams) |
| 12 hours postoperatively. |
| Patient satisfaction Score | Patient satisfaction with the pain management regimen will be assessed using a five-point Likert scale 24 hours after surgery. The scale ranges from 1 to 5, where 1 = Very Dissatisfied, 2 = Dissatisfied, 3 = Neutral, 4 = Satisfied, and 5 = Very Satisfied. Higher scores indicate greater satisfaction. | 24 hours after the operation |