Enhanced Recovery After Cardiac Surgery

NAUnknownINTERVENTIONAL
Enrollment

80

Participants

Timeline

Start Date

December 17, 2018

Primary Completion Date

October 1, 2019

Study Completion Date

November 29, 2019

Conditions
Cardiac SurgeryCoronary Artery DiseaseAortic Valve DiseaseMitral Valve DiseaseTricuspid Valve DiseaseAortic Root Dilatation
Interventions
DIETARY_SUPPLEMENT

Pre-operative Carbohydrate PreLoad drink

Pre-operative Carbohydrate PreLoad drink, 1 sachet given the night before surgery. One sachet given 2-4hours before surgery.

DRUG

Oral Gabapentin pre-op

One dose of Gabapentin pre-operatively, 300mg orally.

DRUG

Oral Lansoprazole pre-op

One dose of Lansoprazole pre-operatively, 30mg orally.

DRUG

Intravenous Paracetamol intra-operatively

One dose of Paracetamol intra-operatively, 1gram intravenous infusion.

DRUG

Intravenous Dexamethasone intra-operatively

One dose of Dexamethasone intra-operatively as an anti-emetic, 8mg intravenous.

DRUG

Intravenous Ondansetron intra-operatively

One dose of Ondansetron intra-operatively as an anti-emetic, 4mg intravenous

DRUG

Infiltration of surgical wounds with local anaesthetic

Infiltration of surgical wounds with local anaesthetic at the end of surgery, Bupivacaine 1-2mg/kg.

DRUG

Intravenous Magnesium intra-operatively

One infusion of intravenous Magnesium Sulphate intra-operatively as an analgesic, 50mg/kg given over 30minutes.

DRUG

Post-operative Gabapentin analgesia

Post-operative oral Gabapentin 300mg, three times daily as an analgesic.

DRUG

Post-operative oral Paracetamol analgesia

Post-operative Paracetamol as an analgesic. Initially intravenously, then orally. One gram four times daily.

DRUG

Post-operative Ondansetron anti-emesis

Intravenous Ondansetron administered post-operatively as prophylactic anti-emesis. 4mg three times daily, for 24 hours. Then as required.

PROCEDURE

Early extubation

Removal of the endotracheal tube in the Intensive Care Unit as soon as is safe.

PROCEDURE

Early mobilisation/physiotherapy

Mobilisation (active and passive limb movements, deep breathing) with the assistance of nurse/physiotherapist to occur as soon as possible post-operatively.

OTHER

Encourage early oral food intake

Patients will be encouraged to start eating as soon as possible post-operatively

Trial Locations (1)

TS4 3BW

RECRUITING

James Cook University Hospital, Middlesbrough

Sponsors

Collaborators (1)

All Listed Sponsors
collaborator

Medela AG

INDUSTRY

lead

James Cook University Hospital

OTHER