Impact of General Anesthesia v/s Spinal Anesthesia on ERAS Parameters in Intestinal Stoma Reversal

Launched by ALL INDIA INSTITUTE OF MEDICAL SCIENCES, BHUBANESWAR · Jan 18, 2024

Keywords

ClinConnect Summary

This clinical trial is looking at how two different types of anesthesia—general anesthesia (GA) and spinal anesthesia (SA)—affect recovery after surgery to reverse intestinal stomas, which are openings created in the abdomen for waste removal. The goal is to see which method helps patients recover better and faster as part of an Enhanced Recovery After Surgery (ERAS) program, which focuses on improving patient outcomes after surgery.

To participate in this trial, patients need to be at least 18 years old and have specific types of stomas, such as loop or end stomas, that are suitable for reversal. They should also be healthy enough to undergo surgery. However, patients with certain complications, those who do not agree to participate, or those who cannot safely use either type of anesthesia will not be eligible. If you join the study, you will be randomly assigned to receive either general or spinal anesthesia during your surgery, and you will be monitored to see how well you recover afterwards. It's important to know that this trial is not yet recruiting participants, so if you're interested, keep an eye out for updates!

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age of the patient ;18 years
• • Patients with Loop stoma, Double Barrel Stoma or End stoma with
• • documented hitched distal loop.
• • Patients evaluated and fit for surgery
• Exclusion Criteria:
• • Patients requiring mid line laparotomy for stoma reversal
• • Patient having active stoma related complications like high output stoma
• • and dehydration - Acute Kidney Injury, stoma prolapse, etc making them
• • unfit for surgery.
• • Patient denying consent for SA or ERAS protocol
• • Patient having contraindication for either type of anaesthesia (where
• • randomisation would not be possible)
• • Patient needing to be converted to GA after pain /discomfort experienced
• • by patient or if there was failed spinal anaesthesia
• • Patient having abnormal coagulation profile
• • Coexistent neurological or psychiatric illness or unable to understand the
• • study.