Effect of Drinking Carbohydrate-containing Fluids on Gastric Residual Volume in Elderly Patients
NCT ID: NCT04514380
Last Updated: 2021-03-22
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
64 participants
OBSERVATIONAL
2020-09-16
2021-03-19
Brief Summary
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The perioperative fasting guidelines of the European Society of Anaesthesiology focus on preoperative carbohydrates. They hold that it is safe for patients to drink carbohydrate-rich fluids up to 2 hours before elective surgery and that drinking carbohydrate-rich fluids improves subjective well-being, reduces thirst and hunger, and reduces postoperative insulin resistance at an evidence level of 1++. Nevertheless, data on drinking carbohydrate fluids before surgery in elderly patients are limited.
In our institution, there are two clinical pathways for total knee arthroplasty according to the surgeons. One difference is whether carbohydrate fluids drink or not before surgery. The purpose of this study, therefore, is to assess gastric volume in fasted elderly patients using ultrasound after they drank carbohydrate fluids 2 hours before surgery and to compare with matched patients using age, body mass index, and comorbidity, who did not drink carbohydrate fluids before surgery.
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Detailed Description
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Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Group C
Patients drank carbohydrate fluid 2 hours prior to surgery according to the routine fasting protocol by surgeon A.
Carbohydrate fluid
400 mL carbohydrate fluid
Group N
Patients did not drink carbohydrate fluid 2 hours prior to surgery according to the routine fasting protocol by surgeon B.
Non-carbohydrate fluid
0 mL carbohydrate fluid
Interventions
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Carbohydrate fluid
400 mL carbohydrate fluid
Non-carbohydrate fluid
0 mL carbohydrate fluid
Eligibility Criteria
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Inclusion Criteria
* Age: 65\~85 yeas
* ASA 1\~3
Exclusion Criteria
* ASA \>= 4
* Diabetes mellitus
* Chronic kidney disease
65 Years
85 Years
ALL
No
Sponsors
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Seoul National University Bundang Hospital
OTHER
Responsible Party
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Hyo-Seok Na
Professor
Principal Investigators
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Hyo-Seok Na, MD., PhD.
Role: PRINCIPAL_INVESTIGATOR
Seoul National University Bundang Hospital
Locations
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Seoul National Univ. Bundang Hospital
Seongnam-si, Gyeonggi-do, South Korea
Countries
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References
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Shin HJ, Koo BW, Lim D, Na HS. Ultrasound assessment of gastric volume in older adults after drinking carbohydrate-containing fluids: a prospective, nonrandomized, and noninferiority comparative study. Can J Anaesth. 2022 Sep;69(9):1160-1166. doi: 10.1007/s12630-022-02262-9. Epub 2022 Apr 21.
Other Identifiers
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B-2008/633-301
Identifier Type: -
Identifier Source: org_study_id
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