Parents Perception and Compliance With Pre Operative Fasting Instructions in Paediatric Patients

Completed

• Conditions: Fasting
• Interventions: Other: study of fasting time among pediatric patients undergoing day care surgery

• Registration Number: NCT03606564
• Lead Sponsor: Post Graduate Institute of Medical Education and Research, Chandigarh

Brief Summary

This study evaluates the perception and compliance with the fasting instructions given to parents of children undergoing surgery. A questionnaire was provided to the parents indicating fasting time requested and actual time of fasting.

Detailed Description

American Society of Anesthesiologists (ASA) have recommended fasting guidelines of 8 hours of solids, 6 hours for formula milk, 4 hours for breast milk and 2 hours of clear liquids, for preoperative patients undergoing elective surgery. Parents of Children undergoing surgery are instructed to adhere to these guidelines. Parents might not be compliant with these instructions. They may fast their children less than or more than the recommended time.

Main aim of this study is to find out the incidence of non compliance with the fasting instructions and try to find the reasons for such non compliance.

Study Timeline

• Study Start: 2014-07
• Primary Completion: 2015-12
• Study Completion: 2015-12
• Study First Submitted: 2018-05-31
• Study First Submitted QC: 2018-07-22
• Study First Posted: 2018-07-31
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-02
• Last Update Posted: 2018-08-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1050

Inclusion Criteria

• Children aged 1 to 12 years
• ASA I and II category
• Elective day care surgery
• General anaesthesia planned

Exclusion Criteria

• Parent's refusal to participate.
• Children with complex nutritional requirements eg. feeding via gastrostomy tube
• Parents who cannot read or understand English, Hindi or Punjabi

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
paediatric patients undergoing day care surgery	study of fasting time among pediatric patients undergoing day care surgery	-

Primary Outcome Measures

Name	Time	Method
Median duration of fasting	1.5 years	Median time of pre operative fasting as advised by anaesthesiologist/surgeon/nurse in the Pre Anaesthesia Clinic was compared with the Median duration of fasting of the patient just before surgery.
Percentage of parents who followed the preoperative fasting instructions	1.5 years	Percentage of parents who adhered to advised fasting time was compared with percentage of parents who fasted their children more than or less than what was advised.

Secondary Outcome Measures

Name	Time	Method
Percentage of parents who could recall if fasting instructions were verbal or written orders	1.5 years
Percentage of parents who received fasting instructions from anyone other than the anaesthetist	1.5 years
Percentage of parents who complained about fasting time being too long for their children	1.5 years
Percentage of parents who attended Pre Anaesthesia Clinic	1.5 years
Percentage of parents who could recall fasting instructions that were provided in Pre Anaesthesia Clinic	1.5 years
Percentage of parents who could tell if they were provided separate fasting instructions for solids and liquid foods	1.5 years
Percentage of patients who were not adequately fasted.	1.5 years
Percentage of parents who understood the actual reason to fast before surgery	1.5 years

Trial Locations

Locations (1)

Post Graduate Institute of Medical Education and Research,; 🇮🇳 Chandigarh, India