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This study aims to evaluate whether allowing early oral hydration on demand effectively relieves postoperative thirst and enhances patient satisfaction in individuals undergoing urological endoscopic procedures
Postoperative thirst is a frequent but often overlooked discomfort experienced by patients after surgery, particularly following urological endoscopic procedures.Despite the common restriction on carly oral intake due to concerns about nausea and aspiration, delaying hydration prolongs patient suffering and reduces satisfaction during recovery. This study aims to investigate whether allowing carly, on-demand oral hydration in the postanesthesia care unit (PACU) can effectively relieve postoperative thirst without increasing adverse effects, thereby potentially improving patient comfort and outcomes.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EOH Group (Early Oral Hydration) | Experimental | Patients in the intervention group will be allowed early oral hydration on demand upon admission to the PACU if they meet the following safety criteria. Practical PACU checklist to be fulfilled before giving plain water. Require all of the following before any oral intake (start with small sips, e.g., 10 ml): |
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| Control Group (Standard PACU Protocol) | Active Comparator | Patients in the control group will follow the standard PACU protocol, which will delay oral hydration for 2-3 hours after the end of anesthesia. During this period, patients will be monitored closely for thirst and other postoperative symptoms. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early oral hydration | Dietary Supplement | "Early oral hydration" refers to the administration of small sips of water (maximum 10 mL initially) within 15-30 minutes of arrival in the PACU, once the patient is fully conscious, stable, and meets safety criteria. Initially, patients will be provided a maximum of 10 mL of water using a straw. After this initial intake, they will be allowed to drink water according to their demand, provided their condition remains stable. To minimize the risk of adverse events such as regurgitation and aspiration, the total amount of water intake will be restricted to 0.5 mL/kg. |
| Measure | Description | Time Frame |
|---|---|---|
| Thirst intensity upon PACU arrival | Patients will be asked Did you experience thirst upon arrival in the PACU?
| Up to 2 hours during immediate post-operative period |
| Thirst intensity at PACU discharge | Patients will be asked Did you experience thirst at PACU discharge?
| Up to 2 hours during immediate post-operative period |
| Patient comfort | Rate your comfort level during the PACU stay using the VAS (0-10) (0 = Uncomfortable, 10 = Very comfortable) [0---1---2---3---4---5---6---7---8---9---10] | Up to 2 hours during immediate post-operative period |
| Patient satisfaction with the hydration timing. | How satisfied are you with the hydration timing? (5-point Likert Scale):
| Up to 2 hours during immediate post-operative period |
| Patient satisfaction with the hydration procedure. | How satisfied are you with the hydration process overall? (5-point Likert Scale):
| Up to 2 hours during immediate post-operative period |
| Total oral water intake (mL) during PACU stay. |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Do you experience any of the following adverse events after drinking water? (Check all that apply):
| Up to 2 hours during immediate post-operative period |
| Medical intervention given for any adverse event |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Muhammad M Abbas, FCPS | Contact | 02199215718 | smabbas69@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Muhammad M Abbas, FCPS | Sindh Institute of Urology and Transplantation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sindh Institute of Urology and Transplantation | Recruiting | Karachi | Sindh | 74200 | Pakistan |
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| ID | Term |
|---|---|
| D017060 | Patient Satisfaction |
| D010549 | Personal Satisfaction |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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All eligible patients meeting the inclusion criteria will be identified preoperatively by the researcher. Written informed consent will be obtained from each participant after explaining the study purpose, procedures, possible risks, and benefits in their preferred language.
Upon arrival in the PACU, patients will be randomized into
Group A (early oral hydration) or Group B (control) is using sealed opaque envelopes.
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The outcome assessor will collect the data from the patients enrolled in this study by the primary investigator in the postanesthesia care unit once the patients are received in the postoperative ward. This data will contain demographics as well as questionnaire-based satisfaction grading and the possible adverse effects.
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| No early oral hydration (As per Standard PACU Protocol) | Other | Patients in the control group will follow the standard PACU protocol, which will delay oral hydration for 2-3 hours after the end of anesthesia. During this period, patients will be monitored closely for thirst and other postoperative symptoms. |
|
The total amount of water intake will be restricted to 0.5 mL/kg. The water will be provided in a graduated cup, and the total water intake will be calculated as follows:
Total Water Intake (mL) = Volume of water in the cup upon PACU admission - Volume of water remaining in the cup upon PACU discharge.
| Up to 2 hours iduring immediate post-operative period |
Is medical intervention given for any adverse event?
|
| Up to 2 hours during immediate post-operative period |