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
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
98
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.
Preoperatively, NPO 6 hours before the procedure Intraoperatively, on induction Nabuphine 0.1mg/kg
Aga Khan University, Karachi, Pakistan
Karachi, Sindh, Pakistan
RECRUITINGLength 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.
Time frame: From arrival in the recovery room post-surgery until 72 hours after surgery.
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
Time frame: 4 hours, 8 hours, 12 hours, 24 hours, 48 hours & 72 hours postoperatively
Amount of opioid used in patient controlled analgesia
Total Nalbuphine consumption in 12 hours (in milligrams)
Time frame: 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.
Time frame: 24 hours after the operation
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