An interventional study of Preoperative fasting instruction in Pulmonary Aspiration of Gastric Contents, sponsored by Uppsala University Hospital. Recruiting at 1 site in Sweden. Open to participants aged 6 Months to 12 Years. Per ClinicalTrials.gov, last updated 2024-05-14.
Sponsored by Uppsala University Hospital · Not applicable, Interventional, and Prevention
The primary objective of the study is to compare the risk of increased stomach contents after tube feeding (Enteral feeding) 6 and 4 hours before anesthesia using antrum measured by ultrasound.
Children must fast for a certain period of time before anesthesia and surgery to reduce the risk of food residues being vomited up and ending up in the trachea (so-called aspiration). But there are disadvantages to fasting for a long time before an operation, for example the blood sugar level can drop and the body can become dehydrated. Small children risk such side effects to a greater degree than adults, and therefore international work is underway to revise the rules for fasting before surgery.
Enteral feeding children are a special risk group because they are usually completely dependent on tube feeding for nutrition and fluid intake.
27 studies on the registry are indexed under Respiratory Aspiration of Gastric Contents; 6 are open to participants now.
This study's planned enrollment of 180 is above the median of 101 across 16 interventional studies indexed under Respiratory Aspiration of Gastric Contents.
Browse Respiratory Aspiration of Gastric Contents studies →Uppsala University Hospital is the lead sponsor of 73 studies on the registry; 19 are open to participants now.
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Child on intermittent or continuous enteral nutrition, scheduled for elective procedure requiring general anesthesia
Exclusion Criteria:
Moderate to severe gastrointestinal motility disorder Emergency surgery Anatomical risk factor for pulmonary aspiration such as achalasia or bowel obstruction Parents cannot understand study information due to language barrier
Patients parents instructed to stop enteral feeding 4 hours before predicted anesthesia induction
Procedure: Preoperative fasting instruction
Patients parents instructed to stop enteral feeding 6 hours before predicted anesthesia induction
Procedure: Preoperative fasting instruction
Patients parents instructed to stop enteral feeding at a specified time before predicted anesthesia induction
CSA
Gastric antral surface area
Time frame: Immediately before anesthesia induction
Suctioned GCV
Gastric content volume suctioned through nasogastric tube after induction
Time frame: Immediately after intubation
Plan to share: No
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Respiratory Aspiration of Gastric Contents →
Uppsala University Hospital