Gastric Content After 6 vs 4 Hours of Preoperative Fasting in Children

NCT ID: NCT05695066

Last Updated: 2024-05-14

Study Results

Results pending

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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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-01-23

Study Completion Date

2025-10-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Pulmonary Aspiration of Gastric Contents

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial.
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors
Computerized randomization. Randomization outcome distributed via sealed envelopes. Randomization key stored on secure server.

Study Groups

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4H group

Patients parents instructed to stop enteral feeding 4 hours before predicted anesthesia induction

Group Type EXPERIMENTAL

Preoperative fasting instruction

Intervention Type PROCEDURE

Patients parents instructed to stop enteral feeding at a specified time before predicted anesthesia induction

6H group

Patients parents instructed to stop enteral feeding 6 hours before predicted anesthesia induction

Group Type ACTIVE_COMPARATOR

Preoperative fasting instruction

Intervention Type PROCEDURE

Patients parents instructed to stop enteral feeding at a specified time before predicted anesthesia induction

Interventions

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Preoperative fasting instruction

Patients parents instructed to stop enteral feeding at a specified time before predicted anesthesia induction

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

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
Minimum Eligible Age

6 Months

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uppsala University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Peter Frykholm

Associate professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Frykholm, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Uppsala University Hospital

Locations

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Uppsala University Hospital

Uppsala, , Sweden

Site Status RECRUITING

Countries

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Sweden

Central Contacts

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Peter Frykholm, MD, PhD

Role: CONTACT

+46186171240

Ali-Reza Modiri, PhD

Role: CONTACT

+46727411410

Facility Contacts

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Peter Frykholm, MD PhD

Role: primary

+46708454969

Ali Modiri, PhD

Role: backup

+467411410

Related Links

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https://pubmed.ncbi.nlm.nih.gov/34857683/

Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care

https://pubmed.ncbi.nlm.nih.gov/30095551/

Ultrasound assessment of gastric emptying time after a standardised light breakfast in healthy children: A prospective observational study.

https://pubmed.ncbi.nlm.nih.gov/31608517/

Gastric content assessed with gastric ultrasound in paediatric patients prescribed a light breakfast prior to general anaesthesia: A prospective observational study.

Other Identifiers

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ENGUS

Identifier Type: -

Identifier Source: org_study_id

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