CArbohydrate Loading in Aortic Surgery

Launched by UNIVERSITY OF BELGRADE · Mar 29, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the effects of giving patients carbohydrates to drink before undergoing surgery for abdominal aortic aneurysm or Leriche Syndrome. The goal is to see if consuming carbohydrates before surgery can help improve recovery, especially since many patients currently have to fast overnight, which might not be beneficial. The trial is looking for patients who are scheduled for elective surgery and will be the first surgery of the day.

To participate, patients must be able to provide informed consent and should not have certain health conditions, like diabetes or severe obesity, that might complicate the surgery or recovery. If eligible, participants can expect to drink a carbohydrate solution before their surgery and then be monitored to see how it affects their recovery. It's important to note that this study is still recruiting participants, so there is an opportunity for eligible patients to contribute to important research in this area.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Consecutive patients admitted due to elective surgical treatment of abdominal aortic aneurism or Leriche Syndrome.
• • Patients scheduled to be operated on first on a given day, that is, patients whose surgery will be performed first in the morning.
• • Personally signed informed consent.
• Exclusion Criteria:
• • Patients with diabetes or fasting glucose level above seven mmol/L;
• • Patients with disorders that prolong gastric emptying (gastroesophageal reflux disease, history of gastrointestinal surgery, hiatus hernia or intestinal obstruction);
• • Patients with conditions that could potentially prolong the postoperative recovery (severe physical disability, cognitive impairment, autoimmune diseases, severe infection, significant liver and renal failure, or severe psychiatric/mental disorders);
• • Patients with alcohol/drug abuse
• • Obese patients with obesity class 3 (BMI ≥ 40 kg/m2);
• • Patients undergoing emergent surgery;
• • Patients treated with immunosuppressants and/or steroids in the past three months before surgery;
• • Patients in whom difficult airway is anticipated.