NCT05695066

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

Gastric Content After 6 vs 4 Hours of Preoperative Fasting in Children on Enteral Nutrition. A Randomized Controlled Trial Using Gastric Ultrasound

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 180 (estimated)
• Sponsor: Uppsala University Hospital · Academic / Other
• Sex: All
• Age: 6 Months – 12 Years
• Healthy volunteers: Not accepted

Summary

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

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

• Pulmonary Aspiration of Gastric Contents

Interventions

Type	Name	Description
PROCEDURE	Preoperative fasting instruction	Patients parents instructed to stop enteral feeding at a specified time before predicted anesthesia induction

Timeline

• Start date: 2023-01-23
• Primary completion: 2025-05-01
• Completion: 2025-10-01
• First posted: 2023-01-23
• Last updated: 2024-05-14

Locations

1 site across 1 country: Sweden