Evidence map›Paper›PMID 40687973›Full record

ArticleIndian journal of anaesthesia2025

Impact of early postoperative oral hydration in paediatric patients undergoing elective surgery after general anaesthesia. A randomised controlled trial.

Mridul Dhar, Jyoti Rawat, Yashwant S Payal, Sanjay Agrawal, Ruhi Sharma, Vaishali Gupta

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mridul DharDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-1913-2586
Jyoti RawatDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-6728-3311
Yashwant S PayalDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0003-1656-1032
Sanjay AgrawalDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-2806-1943
Ruhi SharmaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-3527-789X
Vaishali GuptaDepartment of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India.ORCID https://orcid.org/0000-0002-2007-7027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: Early feeding or oral hydration post-surgery in paediatric patients has conventionally not been encouraged, with fasting periods ranging from 3 to 6 h. The primary objective of this study was to compare the Face, Legs, Activity, Cry, Consolability (FLACC) score as a surrogate for patient satisfaction in younger children between those who received early versus delayed postoperative feeding/hydration. Secondary objectives were to compare the incidence of complications, perioperative clinical parameters and parental satisfaction. Methods: A single-blind, randomised trial was conducted in children of both genders, aged 1-5 years, undergoing elective surgery. Children were randomly allocated using sealed envelopes to receive either early hydration (EH) within 30 min of arrival to the post-anaesthesia care unit (PACU) or delayed standard hydration (SH) after 2 h. A rescue dose of fentanyl was given if the FLACC score was ≥6 at any time in PACU. The primary outcome was the FLACC score in PACU after 1 h. Statistical tests used were the unpaired Results: Out of the initially randomised 66 patients, 61 were finally analysed. Demographic and perioperative parameters were similar in both groups. FLACC score after 1 h in PACU was significantly lower in Group EH [1 (0.25-2)] than in Group SH [2 (1-3)] ( Conclusion: Early postoperative oral hydration is efficacious and safe compared to standard delayed feeds in children undergoing elective surgery.

Indexed as

Childenhanced recovery after surgerygeneral anaesthesiahydrationpostoperative nausea and vomiting

Identifiers

PMID40687973
PMCPMC12275221

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.