Pulmonary Aspiration in Elderly Patients

Kangbuk Samsung Hospital

Status: Completed

Conditions: Anesthesia

Treatments: Other: Carbohydrate beverage

Study type: Interventional

Funder types: Other

Identifiers

NCT04159636

KBSMC 2019-10-013

Details and patient eligibility

About

The aim of this study was to compare the risk of pulmonary aspiration assessed with gastric ultrasonography in elderly patients, undergoing elective surgery.

Full description

Recently, carbohydrate loading is suggested for enhanced recovery after surgery.

Aging process often accompanies gastrointestinal dysmotility. Therefore, elderly patients might have undiagnosed gastro-esophageal reflux disease, or other gastrointestinal disorders. Moreover, because of their co-morbid underlying diseases and multi-drug effects, gastric emptying might be further delayed in the elderly patients.

This study was designated to compared the risk of pulmonary aspiration in elderly patients, with gastric ultrasound between fasting group and carbohydrate loading group.

Enrollment: 58 patients

Sex: All

Ages: 65+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• aged from 65
• scheduled for elective surgery
• American Society of Anesthesiologists physical status 1 or 2

Exclusion criteria

• Diagnosed for diseases that might delay gastric emptying (obesity, diabetes, hiatal hernia, gastro-esophageal reflux disease, ileus)
• psychiatric or mental disorders
• delirium
• dementia
• parkinsonism
• alcoholism
• drug abuse

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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58 participants in 2 patient groups

Fasting group

No Intervention group

Description:

Participants will be remained fasted until surgery

Carbohydrate group

Experimental group

Description:

Participants will be allowed to drink carbohydrate beverage before 2 hours of surgery

Treatment:

Other: Carbohydrate beverage