Preoperative Pediatric Fasting Regimens

Tanta University

Status: Completed

Conditions: Anesthesia

Treatments: Other: standard fasting; Other: liberal fasting

Study type: Interventional

Funder types: Other

Identifiers

NCT04961814

IRB No: 34601/4/21

Details and patient eligibility

About

The presence of gastric contents makes an aspiration event more likely , and as a result, preoperative fasting guidelines are designed to provide adequate time for gastric emptying in patients undergoing surgery. this study will be conducted to assess the gastric volume and content with the help of ultrasound in fasted pediatric patients scheduled for elective surgeries

Full description

it is unknown how many patients have gastric volumes that place them at increased risk of aspiration despite adequate fasting.

There is a growing interest in the use of bedside ultrasonography to assess gastric content and volume. It has been suggested that the gastric antrum in particular can be assessed reliably by sonography.

hence, this study will be conducted to assess the gastric volume and content with the help of ultrasound in fasted pediatric patients scheduled for elective surgeries which will help to detect accuracy of preoperative fasting hours.

Enrollment: 200 patients

Sex: All

Ages: 8 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• paediatric patients aged 6-12 years old
• ASA physical status I and II
• scheduled for elective surgeries
• the anticipated duration of 30-60 min

Exclusion criteria

• parents' refusal
• overweight or obesity
• expected difficult airway management
• increased abdominal pressure
• diabetes mellitus
• congenital diseases
• GERD or esophageal disease
• uncooperative patients,
• mental retardation or neurological disease
• upper airway surgeries.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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200 participants in 2 patient groups

standard fasting

Active Comparator group

Description:

preoperative fasting according to 6-4-2 regimen then preoperative bedside gastric ultrasound assessment will be done

Treatment:

Other: standard fasting

liberal fasting

Experimental group

Description:

preoperative fasting according to 6-4-0 regimen then preoperative bedside gastric ultrasound assessment will be done

Treatment:

Other: liberal fasting