Incidence of Post-operative Vomitings (POV) After Early Refeeding in Pediatric Day Case Surgery.

NCT ID: NCT02288650

Last Updated: 2014-11-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

808 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-07-31

Brief Summary

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At the child, the post-operative vomitings (POV) remain the main post-operative complication in term of frequency. They also represent the first cause of unforeseen hospitalization in day case surgery. The causes of POV are multiple, including in particular the post-operative prescription of opioids. The role of the premature refeeding remains discussed.

Up to the age of 4 years, acute pain is difficult to distinguish from other causes of distress (anxiety, anger but also hunger) being able to make prescribe wrongly opioids in post-operative.

The main objective of this study is to estimate the POV in pediatric day case surgery after early refeeding with clear liquids in the recovery room or only in the day case wards (usual practice).

The secondary objectives are to estimate the time on returning to the day case ward, at home, the post-operative opioid consumption, early refeeding adverse effects (desaturation, swallowing trouble)

Detailed Description

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Conditions

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Post-operative Vomiting Incidence Pediatric Day Case Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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Liberal group

Early refeeding

Group Type EXPERIMENTAL

early refeeding

Intervention Type OTHER

Control group

Refeeding in the day case ward (usual practice)

Group Type SHAM_COMPARATOR

refeeding only in the recovery room (usual practice).

Intervention Type OTHER

Interventions

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early refeeding

Intervention Type OTHER

refeeding only in the recovery room (usual practice).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patient of less than 4 years old
* A pediatric day case surgery scheduled

Exclusion Criteria

* Child lower age or 3 month old equal
* Premature child of conceptional age lower than 60 weeks
* Anesthetic or surgical constraint dissuading day case surgery or early refeeding
* Digestive pathology predisposing to the VPO (Hernia hiatal, gastro-oesophageal reflux)
* treatment interfering with emesis (imidazoles, neuroleptic)
* Period of exclusion defined by another study
Minimum Eligible Age

3 Months

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Hôpitaux Universitaires de Strasbourg

Strasbourg, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Chloé CHAUVIN, Doctor

Role: CONTACT

3 12 70 89 ext. +33

Facility Contacts

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Chloé Chauvin

Role: primary

3 88 12 70 89 ext. +33

References

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Chauvin C, Schalber-Geyer AS, Lefebvre F, Bopp C, Carrenard G, Marcoux L, Mayer JF, Schwaab C, Joshi GP, Diemunsch P. Early postoperative oral fluid intake in paediatric day case surgery influences the need for opioids and postoperative vomiting: a controlled randomized trialdagger. Br J Anaesth. 2017 Mar 1;118(3):407-414. doi: 10.1093/bja/aew463.

Reference Type DERIVED
PMID: 28203729 (View on PubMed)

Other Identifiers

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5547

Identifier Type: -

Identifier Source: org_study_id