Effect of Intravenous 5% Dextrose Infusion During Recovery from Anesthesia on the Quality of Early Postoperative Recovery in Patients Undergoing Painless Gastrointestinal Endoscopy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Lin Cheng, B.S
- Phone Number: 17667404256
- Email: 1318216353@qq.com
Study Locations
-
-
Shandong
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Weifang, Shandong, China, 261041
- Lin Cheng
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- patients who meet the indications for painless gastrointestinal endoscopy and are aged 18 to 79 years.
- The patient or his/her guardian or immediate family members gave informed consent;
- American Society of Anesthesiology (ASA) anesthesia risk classification ≤ grade III.
Exclusion Criteria:
- Patients with contraindications to sedation/anesthesia for gastrointestinal endoscopy: e.g., severe hepatic and renal dysfunction, cardiac insufficiency;
- Patients receiving chemotherapy and opioid treatment; patients with a history of sleep apnea hypoventilation syndrome;
- Intravenous nutritional support within 8 hours prior to the examination;
- Patients diagnosed with type I or type II diabetes.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Experimental group
Patients in the experimental group were infused intravenously with 5% dextrose (500 ml/h) in the PACU.
The study outcomes were collected at three assessment periods, 0-0.5 h, 0.5-6 h, 6-24 h, after anesthesia by an independent investigator.
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Patients in the experimental group were infused intravenously with 5% dextrose (500 ml/h) in the PACU.
Other Names:
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Active Comparator: Control group
Patients in the control group were infused intravenously with 0.9% sodium chloride solution (500 ml/h) in the PACU.
The study outcomes were collected at three assessment periods, 0-0.5 h, 0.5-6 h, 6-24 h, after anesthesia by an independent investigator.
|
Patients in the control group were infused intravenously with 0.9% sodium chloride solution in the PACU.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Preoperative blood glucose 30min
Time Frame: Measurements taken 0.5 hours Preoperative.
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A fingertip blood glucose concentration of <3.9 mmol/L was used as a diagnostic criterion for hypoglycemia.
Severity and incidence of hypoglycemia at 0.5 hours Preoperative.
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Measurements taken 0.5 hours Preoperative.
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Postoperative nausea and vomiting
Time Frame: Measured at 0.5 hours postoperatively.
|
The Index of Nausea and Vomiting and Retching (INVR) was used in this study.
The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms.
The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored).
According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs.
The severity and incidence of PONV at 0.5 hours postoperatively.
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Measured at 0.5 hours postoperatively.
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Postoperative blood glucose 2h
Time Frame: Measured at 2 hours postoperatively.
|
A fingertip blood glucose concentration of <3.9 mmol/L was used as a diagnostic criterion for hypoglycemia.
Severity and incidence of hypoglycemia at 2 hours postoperatively.
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Measured at 2 hours postoperatively.
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Dizziness level
Time Frame: Approximately 15min after surgery
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The Visual Analogue Scale(VAS) was used to assess the degree of postoperative dizziness in patients undergoing painless gastroenteroscopy.
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Approximately 15min after surgery
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Dizziness level
Time Frame: Measured at 0.5 hours postoperatively.
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The visual analogue scale (VAS) was used to assess the degree of postoperative dizziness in patients undergoing painless gastroenteroscopy.
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Measured at 0.5 hours postoperatively.
|
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Postoperative nausea and vomiting
Time Frame: Measured at 2 hours postoperatively.
|
The Index of Nausea and Vomiting and Retching (INVR) was used in this study.
The scale consists of 8 items with 3 dimensions, which can quantify the number of occurrences, duration and severity of symptoms.
The scale is scored using the Likert method, with a total of 32 points on a 5-point scale ranging from 0 to 4. The higher the score, the more severe the symptoms of nausea, vomiting, and dry heaving (entries 1, 6, and 7 are reverse scored).
According to the score, nausea, vomiting and dry heaving symptoms can be categorized into five grades: 0, I, II, III and IV, and grade ≥I means that the symptom occurs.
The severity and incidence of PONV at 0.5 hours postoperatively.
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Measured at 2 hours postoperatively.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Anesthesia awakening time
Time Frame: Approximately 30min after surgery
|
The clinical routine defines the time of awakening from anesthesia as the time between the cessation of anesthesia administration and the opening of the patient's eyes on call.
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Approximately 30min after surgery
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Quality of postoperative recovery (QoR40)
Time Frame: Approximately 24hours after surgery
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The QoR-40 scale provides a true and valid reflection of the impact of various factors on the quality of postoperative recovery.
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Approximately 24hours after surgery
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Lin Cheng, B.S, Weifang People's Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- KYLL20240306-1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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