Impact of Different Fasting Strategies on Gastric Ultrasound and Anxiety Levels in Children
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age2-12
SponsorBursa City Hospital
About this trial
Children who undergo surgery are usually asked to stop eating and drinking for several hours before anesthesia to reduce the risk of stomach contents entering the lungs. However, long fasting times may cause discomfort, dehydration, low blood sugar, and increased anxiety in children. Recent guidelines suggest that clear liquids can safely be allowed closer to the time of surgery, and some enhanced recovery protocols even recommend giving carbohydrate-containing drinks before anesthesia.
This study will compare three different preoperative fasting approaches in children undergoing elective inguinoscrotal surgery: traditional fasting, preoperative carbohydrate drinks, and the "Sip-Til-Send" approach, which allows clear fluids until the child is called to the operating room.
The children's anxiety levels will be evaluated before surgery using a validated anxiety scale and assess stomach content and volume using gastric ultrasound. The secondary outcomes such as nausea, vomiting, pain, emergence delirium, and blood glucose levels will be evaluated.
The results may help determine safer and more comfortable fasting strategies for children undergoing surgery.
Eligibility criteria
Qualifiers
Patients scheduled to undergo elective surgery under general anesthesia for circumcision, undescended testis, inguinal hernia, and/or hypospadias (inguinoscrotal surgery)
Patients with an ASA physical status classification of I-II
Patients able to tolerate oral intake in the preoperative period and comply with the assigned fasting protocol
Written informed consent obtained from parents or legal guardians
Disqualifiers
Patients with ASA physical status III or higher
Patients requiring emergency surgery
History of gastroesophageal reflux disease, gastrointestinal motility disorders, or metabolic/neurological diseases affecting gastric emptying
History of upper gastrointestinal surgery
Trial design
Treatments tested in this trial
- Carbohydrate-loading fluid
- Sip-till-send clear fluid
Treatment groups
90 Participants
are divided into 3 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov