Postoperative Gastric Point of Care Ultrasound (G-POCUS) in Abdominal Surgery
Ileus Postoperative, Postoperative Nausea and Vomiting
About this trial
This is an interventional diagnostic trial for Ileus Postoperative focused on measuring gastric ultrasound, delayed bowel function, postoperative ileus
Eligibility Criteria
Inclusion Criteria: Inclusion criteria: Completed signed and dated informed consent form Willing to comply with all study procedures Male or female, 18 years of age or older Presenting for a schedule elective colorectal/abdominal surgery, either open, robotic, or laparoscopic Exclusion Criteria: History of gastroparesis or known gastric/intestinal motility disorder History of gastric/bariatric surgery Intubated/sedated postoperatively Presence of open abdominal wounds (including abdominal wound vac) Patients who received a complex abdominal wall reconstruction Class III/IV Wound (Contaminated/Infected/Dirty) Surgery was emergent/urgent/unscheduled NGT placed or present at time of operation Presence of ileostomy/colostomy J-pouch reconstruction patients Currently pregnant patients Patients aged <18 years old
Sites / Locations
- Thomas Jefferson University HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Intervention
Control
On postoperative day one, patients will be asked if they are having any GI symptoms. These are defined as presence of nausea, emesis, belching, and/or hiccups. In the intervention arm, clinicians will use the results of G-POCUS and presence/absence of GI symptoms to inform decision making according to one of two standardized algorithms.
On postoperative day one, patients will be asked if they are having any GI symptoms. These are defined as presence of nausea, emesis, belching, and/or hiccups. In the control arm, presence of GI symptoms will be assessed, and once of two standardized algorithms which are representative of the current standard of care for postoperative diet management.