Early Oral Hydration in Relieving Postoperative Thirst
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Early oral hydration, No early oral hydration (As per Standard PACU Protocol).
- Who it may be relevant to
- Registry conditions: Thirst; Due to Deprivation of Water, Patient Satisfaction. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effectiveness of Early Oral Hydration in Relieving Postoperative Thirst in Patients Undergoing Urological Endoscopic Procedures: A Randomized Controlled Trial
Overview
This study aims to evaluate whether allowing early oral hydration on demand effectively relieves postoperative thirst and enhances patient satisfaction in individuals undergoing urological endoscopic procedures
Detailed description
Postoperative thirst is a frequent but often overlooked discomfort experienced by patients after surgery, particularly following urological endoscopic procedures.Despite the common restriction on carly oral intake due to concerns about nausea and aspiration, delaying hydration prolongs patient suffering and reduces satisfaction during recovery. This study aims to investigate whether allowing carly, on-demand oral hydration in the postanesthesia care unit (PACU) can effectively relieve postoperative thirst without increasing adverse effects, thereby potentially improving patient comfort and outcomes.
Interventions
- Dietary supplement Early oral hydration
"Early oral hydration" refers to the administration of small sips of water (maximum 10 mL initially) within 15-30 minutes of arrival in the PACU, once the patient is fully conscious, stable, and meets safety criteria. Initially, patients will be provided a maximum of 10 mL of water using a straw. After this initial intake, they will be allowed to drink water according to their demand, provided their condition remains stable. To minimize the risk of adverse events such as regurgitation and aspir - Other No early oral hydration (As per Standard PACU Protocol)
Patients in the control group will follow the standard PACU protocol, which will delay oral hydration for 2-3 hours after the end of anesthesia. During this period, patients will be monitored closely for thirst and other postoperative symptoms.
Primary outcome measures
- Thirst intensity upon PACU arrival [Time frame: Up to 2 hours during immediate post-operative period]
- Thirst intensity at PACU discharge [Time frame: Up to 2 hours during immediate post-operative period]
- Patient comfort [Time frame: Up to 2 hours during immediate post-operative period]
- Patient satisfaction with the hydration timing. [Time frame: Up to 2 hours during immediate post-operative period]
- Patient satisfaction with the hydration procedure. [Time frame: Up to 2 hours during immediate post-operative period]
- Total oral water intake (mL) during PACU stay. [Time frame: Up to 2 hours iduring immediate post-operative period]
Secondary outcome measures (2)
- Adverse Events [Time frame: Up to 2 hours during immediate post-operative period]
- Medical intervention given for any adverse event [Time frame: Up to 2 hours during immediate post-operative period]
Eligibility criteria
Inclusion criteria
- Male and female patients aged 18-65 years.
- Scheduled for elective urological endoscopic procedures under general anesthesia.
- Day-care endoscopic procedures.
- ASA classification I-III.
Exclusion criteria
- Known gastrointestinal disorders contraindicating early oral hydration (e.g., peptic ulcer disease, hiatal hernia, irritable bowel syndrome, esophagitis, or prior gastrointestinal surgery).
- Inability to express thirst or communicate (e.g., language barrier, altered consciousness).
- Requirement for nasogastric suction.
- History of facial, oropharyngeal, or laryngeal surgery.
- Swallowing dysfunction or delayed gastric emptying (e.g., gastroparesis).
- Incomplete reversal of muscle relaxant at PACU admission (no adequate spontaneous breathing or protective airway reflexes).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Supportive care
Study locations
Pakistan · 1 center
- Sindh Institute of Urology and Transplantation — Karachi
Identifiers
NCT: NCT07563530 · SIUT-ERC-2025/A-586