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CTRI Number  CTRI/2024/05/067885 [Registered on: 24/05/2024] Trial Registered Prospectively
Last Modified On: 24/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Observational study in patients undergoing gynaecological surgeries to estimate the duration of perioperative fasting and its effect on the recovery profile. 
Scientific Title of Study   Prospective Observational study in patients undergoing gynaecological surgeries to estimate the preoperative fasting and postoperative resumption of oral intake and its effect on the immediate recovery profile  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SMITHA ELIZABETH GEORGE 
Designation  Professor 
Affiliation  Christian Medical College, Vellore 
Address  Department Of Anaesthesia, 7th floor , Paul Brand Building, CMCH, Vellore.

Vellore
TAMIL NADU
632004
India 
Phone  04162282105  
Fax    
Email  smitha.lizgeorge@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  SMITHA ELIZABETH GEORGE 
Designation  Professor 
Affiliation  Christian Medical College, Vellore 
Address  Department Of Anaesthesia, 7th floor , Paul Brand Building, CMCH, Vellore.

Vellore
TAMIL NADU
632004
India 
Phone  04162282105  
Fax    
Email  smitha.lizgeorge@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SMITHA ELIZABETH GEORGE 
Designation  Professor 
Affiliation  Christian Medical College, Vellore 
Address  Department Of Anaesthesia, 7th floor , Paul brand building, CMCH, Vellore.

Vellore
TAMIL NADU
632004
India 
Phone  04162282105  
Fax    
Email  smitha.lizgeorge@gmail.com  
 
Source of Monetary or Material Support  
Fluid research grant, Christian Medical College, Vellore, India-632004 
 
Primary Sponsor  
Name  Other  
Address  Department of Anaesthesia 7th floor , Paul Brand building, CMC hospital, Vellore. 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr HANNAH AUGUSTINE  Christian Medical College Hospital  2nd floor, Operation Theatre room 3 and 4, 4th floor G4 West Inpatient Ward, Ida S Scudder Centenary Center Building.
Vellore
TAMIL NADU 
7208533857

hannah.augustine96@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board and Ethics commitee of CMC Vellore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N72||Inflammatory disease of cervix uteri, (2) ICD-10 Condition: N889||Noninflammatory disorder of cervixuteri, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  Patients undergoing elective gynaecological and Gynaecologic oncology surgeries.
Age group 18 to 65
ASA 1 &2 
 
ExclusionCriteria 
Details  ASA 3 and 4 patients
emergency surgeries
Surgery needing massive blood transfusion
Surgeries with elective/unanticipated post op ventilation
Surgeries requiring post op ICU admission.
Age less than 18 years and more than 65 years 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Number of hours of preoperative and postoperative fasting  postoperatively 
 
Secondary Outcome  
Outcome  TimePoints 
To determine the effect of hours of fasting and time for
resumption of fasting on recovery profile including postoperative nausea and
vomiting, ambulation, pain scores, number of days in hospital. To identify risk factors
for prolonged perioperative fasting in gynaecological surgeries.  
24hours 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   One of the most commonly being practiced surgeries in India include Gynecology. A catabolic state is induced in the body because of the surgical stress that leads to tissue hypoxia, increased cardiac demand, increased insulin resistance, altered pulmonary and GI functions and abnormal coagulation profiles. The goal of maintaining normal physiology in the perioperative period, thus optimizing patient outcomes without increasing postoperative complications or readmissions, led to the development of ERAS. Implementation of ERAS protocol began in the early 90’s with the aim of improving post operative outcomes. ERAS stands for ENHANCED RECOVERY AFTER SURGERY. 
There is paucity of data on perioperative fasting and adherence to ERAS guidelines in gynaecologic practice in our country. Therefore we planned to do an observational study to estimate the duration of perioperative fasting, and assess how well ERAS guidelines with regard to perioperative fasting are implemented in the gynaecologic practice in our institution, and how it relates to the recovery of patients. The aim of this study will be to determine duration of perioperative fasting and its effect on the immediate recovery profile in patients undergoing gynaecologic and gynaecologic oncology surgeries.
 
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