Effect of Fasting on the Non-invasive Measurement of the Body's Water Compartments

Medical University of Gdansk

Status: Completed

Conditions: Perioperative Complication; Dehydration

Treatments: Dietary Supplement: Nutricia Pre-op, 400 milliliters, per os

Study type: Interventional

Funder types: Other

Identifiers

NCT04665349

NKBBN/126/2014

Details and patient eligibility

About

Preoperative fasting is defined as refraining from food for at least 6 hours and clear fluids for at least 2 hours prior to anaesthesia. On the one hand, it is a procedure that reduces the risk of aspiration of food content and the occurrence of Mendelson's syndrome, and on the other hand, it was considered to be the cause of disturbances in water management in patients undergoing general anaesthesia. However, reports from recent years have found that moderate preoperative fasting does not influence the risk of hypovolemia in anesthetized patients. It is also known that in fasting people the total body water is reduced. Thus, it can be assumed that there are mechanisms causing the movement of extravascular water into the lumen of blood vessels. For several years, the Body Composition Monitor (BCM) device for non-invasive measurement of the volume of individual water compartments of the human body has been available on the market. It allows to determine the volume of total body water, intracellular body water and extracellular body water. It is mainly used during dialysis, but it can also be used in other circumstances that require the determination of the body's hydration status. The principle of this method is based on non-invasive bioimpedance measurement with the use of 4 electrodes placed on two extremities.

The aim of the study is to determine whether there is a fluid shift between the intracellular and extracellular compartments in people undergoing preoperative fasting. Examination of this issue would allow for the development of hypothesis regarding the optimal perioperative fluid therapy. If there was a shift of fluid from the intracellular space, it seems more rational to supplement fluid deficiencies resulting from starvation with a 5% glucose solution. If, on the other hand, no fluid shift from the intracellular space was detected, which would suggest shifts within the extracellular space, it would be advisable to hydrate the patient with crystalloid solutions.

Enrollment: 81 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiology (ASA) general condition assessment 1 or 2

Exclusion criteria

• Chronic kidney disease
• Circulatory failure
• Phenylketonuria
• History of hypoglycaemic episodes or any carbohydrate metabolism disorders.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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81 participants in 2 patient groups

Pre-op

Experimental group

Description:

Nutricia Pre-op, 400 milliliters, per os

Treatment:

Dietary Supplement: Nutricia Pre-op, 400 milliliters, per os

Control

No Intervention group

Description:

No intervention