RecruitingNot ApplicableNCT07563530

Early Oral Hydration in Relieving Postoperative Thirst

Effectiveness of Early Oral Hydration in Relieving Postoperative Thirst in Patients Undergoing Urological Endoscopic Procedures: A Randomized Controlled Trial


Sponsor

Sindh Institute of Urology and Transplantation

Enrollment

200 participants

Start Date

Apr 18, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

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


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

  • 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 Criteria6

  • 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).

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Interventions

DIETARY_SUPPLEMENTEarly 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 aspiration, the total amount of water intake will be restricted to 0.5 mL/kg.

OTHERNo 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.


Locations(1)

Sindh Institute of Urology and Transplantation

Karachi, Sindh, Pakistan

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NCT07563530


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