The goal of this interventional study is to learn if carbohydrates loading improves overall outcome in adolescent patient undergoing scoliosis curgery
The main questions of the study are as follows:
1. Does carbohydrates loading improves gastrointestinal related problems such as improvement in return of bowel function measured by first passage of flatus, reduce constipation by patient's time to first bowel opening and reduce incidence of post post operative nausea and vommiting 2. Does carbohydrates loading reduces length of hospital stay and patient's overall condition in term of anxiety, thirst and hunger 3. Does carbohydrates loading affects gastric residual volume by measuring residual gastric volume with ultrasound
Patient diagnosed with idiopathic scoliosis undergoing single-staged posterior spinal fusion
Age between 10 to 19 years old
ASA 1 & 2
Patient diagnosed with diabetes mellitus (either type I or type II)
Patient with intellectual disability
American Society of Anesthesiologists (ASA) class 3 and above
Significant risk of aspiration (diagnosed with hiatal hernia, presence of GERD, BMI > 35 kg/m2 , poor GCS, swallowing abnormality, gastrointestinal abnormality)
Parallel
Carbohydrates loading
Dietary supplementPatient who is randomised in the intervention group will receive Nestle drink 2hours before the operation and a night before operation. They will receive 10mls/kg a night before operation and 5mls/kg 2 hour before operation of the carbohydrate drink.
Control group
Dietary supplementPatient assigned to this group will receive standard surgical fasting treatment which include 6hrs of fasting and 2 hrs of clear fluid prior operation
Improvement in bowel function by measuring days of first flatus
Numbers of days when patient has start passing flatus post operation
Improvement in constipation
The number of day when patient start to pass motion after operation
Post op nausea vomiting
number of nausea and vomiting
Length of hospital stay
How many days patient stay in hospital after operation
anxiety, thirst, hunger
VAS score in operation theatre
Gastric residual volume
Ultrasound measurement of gastric residual volume pre- induction
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