Fast Track Appendectomy for Suppurative Appendicitis
| Status: | Completed |
|---|---|
| Conditions: | Other Indications, Gastrointestinal |
| Therapuetic Areas: | Gastroenterology, Other |
| Healthy: | No |
| Age Range: | 5 - 18 |
| Updated: | 4/21/2016 |
| Start Date: | April 2014 |
| End Date: | December 2014 |
Fast Track Appendectomy in Pediatric Patients With Intraoperative Findings of Suppurative Appendicitis
The literature has reported that fast track surgery can be safely applied to children
undergoing appendectomy for acute appendicitis. There is no current evidence regarding the
application of same day discharge protocol in children with intra-operative findings of
suppurative appendicitis. The current standard of care for patients who present with
intra-operative findings of suppurative appendicitis includes post-operative admission and
treatment with intravenous antibiotics. Patients are discharged home once they have met the
following discharge criteria: temperature less than 38.5 degrees Celsius, pain control with
oral pain medication, and tolerating a liquid diet. Given the evidence in the literature
that has shown that same day discharge of patients with acute appendicitis is safe and
effective, we propose that fast track surgery protocol can be safely applied to patients
with intraoperative findings of suppurative appendicitis. We hypothesize that this will
result in a decreased postoperative length of stay, without an increase in 30-day
complication rate.
undergoing appendectomy for acute appendicitis. There is no current evidence regarding the
application of same day discharge protocol in children with intra-operative findings of
suppurative appendicitis. The current standard of care for patients who present with
intra-operative findings of suppurative appendicitis includes post-operative admission and
treatment with intravenous antibiotics. Patients are discharged home once they have met the
following discharge criteria: temperature less than 38.5 degrees Celsius, pain control with
oral pain medication, and tolerating a liquid diet. Given the evidence in the literature
that has shown that same day discharge of patients with acute appendicitis is safe and
effective, we propose that fast track surgery protocol can be safely applied to patients
with intraoperative findings of suppurative appendicitis. We hypothesize that this will
result in a decreased postoperative length of stay, without an increase in 30-day
complication rate.
Inclusion Criteria:
- Pediatric patients aged 5-18
- Diagnosis of appendicitis and scheduled for appendectomy during the hours of
0600-1800.
- Intraoperative findings of suppurative appendicitis
Exclusion Criteria:
- Pregnancy
- Complex medical history not appropriate for same day discharge
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