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Enhanced Recovery clinical trials

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NCT ID: NCT06026475 Completed - Fluid Loss Clinical Trials

Role of Goal Directed Fluid Therapy in Enhanced Recovery After Surgery in Gastro-intestinal Oncosurgeries

GDFT ERAS
Start date: July 13, 2023
Phase: N/A
Study type: Interventional

Enhanced recovery after surgery (ERAS) protocols are multimodal perioperative care pathways designed to achieve early recovery and reducing postoperative morbidity after surgical procedures by maintaining preoperative organ function and reducing the profound stress response following surgery .The key elements of ERAS protocols include preoperative counselling, optimization of nutrition, standardized analgesic and anesthetic regimens , goal directed fluid therapy early mobilization.

NCT ID: NCT05503004 Recruiting - Cardiac Surgery Clinical Trials

Prehabilitation in Adult Patients Following Selective Cardiac Surgery: A Randomized Controlled Trial

Start date: January 20, 2023
Phase: N/A
Study type: Interventional

Aim: To determine the impact of an evidence-based comprehensive prehabilitation (EBCPrehab) program on pre- and postoperative capacity, functional capacity and health related quality of life (HRQoL) in patients awaiting elective coronary artery bypass graft surgery (CABG) or valvular surgery. Design: A single-center randomized controlled trail. SUBJECTS: Overall 160 preoperative elective cardiac surgery patients will be randomly assigned to an intervention or control group. Intervention: one-week EBCPrehab intervention, including supervised exercise, mindfulness and nutrition assessment. Control group: usual care. Main measures: At baseline, one day before surgery, three days after surgery and before discharge. The following measurements will be performed: six-minute walk test, ICU delirium, health related quality of life and flow state.

NCT ID: NCT05476003 Not yet recruiting - Thyroid Surgery Clinical Trials

Bilateral Ultrasound Guided Superficial Cervical Plexus Block After Thyroid Surgery

Start date: August 15, 2022
Phase: N/A
Study type: Interventional

Evaluating ultrasound guided Bilateral Superficial Cervical Plexus Block as a part of enhanced recovery after thyroid surgery using Quality of Recovery-15 scale as a method for assessment of quality of recovery.

NCT ID: NCT05231473 Recruiting - Nurse's Role Clinical Trials

Impact Of The Nurse Enhanced Recovery After Surgery Coordinator On The Compliance In Colorectal Surgery (nursERAS-BCN)

nursERAS-BCN
Start date: May 1, 2022
Phase: N/A
Study type: Interventional

Purpose. The aim of this study is to evaluate the impact of the implementation of the Nurse Enhanced Recovery After Surgery Coordinator (NEC), within the Enhanced Recovery After Surgery (ERAS) program, in relation to the compliance of patients undergoing colorectal surgery. Methods. Quasi-experimental study with a control group, an intervention group and without random assignment in a multicenter trial; between December 2021 and November 2023. Patients older than 18 years with planned elective intervention of major colorectal surgery will be included; excluding those without social support, with psychiatric illness, cognitive difficulty, planning of simultaneous or emergency surgery. In the intervention arm they will have NEC and in the control group they will not have that resource. Compliance will be the main variable of the study and, in addition, the study aims to assess secondary endpoints such as quality of life (QOL). Conclusions. NEC could increase compliance to ERAS programs, improving health outcomes and QOL perceived by the patient. The applicability in the different hospital centers could generate an opportunity to advance professionally in the nursing figure within the ERAS program. The fact of having NEC could also increase the efficiency of the program due to the cost-effectiveness of the nursing position, although this is not the object of the study. It would be applicable in improving perceived health and QOL, so it could also have an economic impact on the health system.

NCT ID: NCT04360382 Completed - Cesarean Section Clinical Trials

Enhanced Recovery Versus Conventional Care After Cesarean Section

Start date: February 1, 2020
Phase:
Study type: Observational

A protocol of ERACS is introduced to our hospital aiming at saving a lot of time and money for the patients and the population at large .By this way ,free beds for more cases can be available for others patients, so the researcher is welling to study this research on women undergoing CS at Woman's Health University Hospital.

NCT ID: NCT04348981 Withdrawn - Cardiac Surgery Clinical Trials

Preventing Cardiac Surgery Readmission With Patient Activity Tracking Technology

Start date: June 1, 2020
Phase: N/A
Study type: Interventional

The aim of this study is to detect decreased patient activity level after discharge after cardiac surgery to prevent readmissions. Cardiac surgery is associated with a high chance of readmission within 30 days, common reasons being volume overload, arrhythmia, pulmonary complications, and infections. A decreased activity level often precedes those complications. Measuring patient activity levels using wearable activity trackers (Fitbit) may detect complications early and prompts the surgical team to contact the patient before a visit to the Emergency Room is warranted.

NCT ID: NCT03958825 Recruiting - Enhanced Recovery Clinical Trials

Open Versus Laparoscopic Left Hepatic Sectionectomy

Start date: August 10, 2019
Phase: N/A
Study type: Interventional

Laparoscopic left sectionectomy has been associated with shorter hospital stay and reduced overall morbidity compared with open left sectionectomy. Strong evidence has not, however, been provided.

NCT ID: NCT02583711 Completed - Surgery Clinical Trials

The Step Home Trial: Utilising Physical Activity Data in the Acute Post-operative Setting

Start date: October 2015
Phase:
Study type: Observational

This is an observational study, which aims to assess how physical activity levels following surgical procedures correlate with patient recovery and length of hospital stay, as well as the utility of this physical activity data to the postoperative surgical team. Surgical teams frequently enquire about their patients' physical activity levels on postoperative ward rounds. Although this information is often provided anecdotally by nursing staff and junior doctors, there are no objective data made available to the clinician. Such data has the potential to supplement other observations (e.g. heart rate, blood pressure, temperature) to help gain an impression of a patient's recovery and physical status, this in turn could provide evidence to help facilitate early discharge as well as to predict medium to longterm outcomes. Advances in wearable technology allow the investigators to collect detailed information with regard to activity with minimal disruption. Recent literature has shown that these wristworn sensors can feasibly be worn in hospital pre and postoperatively, with evidence of a correlation between the amount of steps taken postoperatively and the length of hospital stay. This study will provide further evidence for the usability and utility of wearable sensors in the inpatient surgical setting. It will provide supporting evidence for surgeons to confidently analyse and assess patients in hospital, allowing for safe and expedient discharge home as well as identify highrisk patients who are likely to require extra support and surveillance in the community setting.

NCT ID: NCT01148394 Completed - Enhanced Recovery Clinical Trials

Enhanced Recovery After Colorectal Surgery

Start date: January 2009
Phase: N/A
Study type: Interventional

Introduction: Multimodal rehabilitation (MMR), combines various elements in the management of the surgical patient which lead to a decrease in surgical stress and a more comfortable and faster postoperative recovery. Objective: To assess the introduction of MMR in a specialized Colorectal Unit and compare the results with the traditional model assessing its´ efficacy as to recovery, and reduction of hospital stay and costs.