Safety and Efficacy of ERAS Therapeutic Protocol for Complicated Appendicitis in Children (ERAS)
Enhanced Recovery After Surgery, Appendicitis, Children, Only
About this trial
This is an interventional treatment trial for Enhanced Recovery After Surgery focused on measuring Enhanced Recovery After Surgery, Appendicitis complicated, Appendectomy, Children, Perioperative period
Eligibility Criteria
Inclusion Criteria:
- Patients between the ages of 1 and 17, who underwent surgery at the UMAE Hospital de Pediatría CMNO and who at the time of surgery are determined to be in a gangrenous or perforated phase.
Exclusion Criteria:
- Patients who, prior to surgery, present symptoms of intestinal obstruction, abdominal sepsis, or suffer from any underlying disease.
- Patients who require placement of a nasogastric tube or abdominal drainage during the intervention.
- Patients who were operated in another unit and enter the service for follow-up.
- Patients whose legal guardians do not agree to sign consent to participate in the protocol.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Experimental Group
Control Group
Experimental Group: scheduled nausea and vomiting prophylaxis the first postoperative 24 hours, start liquid diet 8 hours postoperative, if tolerated, advance to a soft diet in the next shift, double IV antibiotic scheme (ceftriaxone, metronidazole) for at least 3 days and change to oral route upon discharge to complete 10 days of antibiotics, discharge upon accomplish discharge criteria (at least 3 days with IV antibiotic scheme, tolerance to feeding, tolerance to postoperative pain and 24 hours without the presence of fever).
Control Group: use of antiemetic only in case of nausea or vomiting, start of liquid diet when presenting intestinal transit data (channeling of gases or presence of evacuation), if they tolerate advancing to a soft diet in the next shift, triple IV antibiotic regimen (ampicillin, amikacin, metronidazole) for at least 5 days and change to oral route upon discharge to complete 10 days of antibiotics, discharge upon accomplish discharge criteria (at least 5 days with IV antibiotic regimen, tolerance to feeding, tolerance to postoperative pain and 24 hours without the presence of fever).