Study of Effects of Preoperative Oral Domperidone on Gastric Residual Volume After Clear Fluid Ingestion in Patients Scheduled for Elective Surgeries: Prospective , Randomized ,Double Blinded Controlled Study
Overview
- Phase
- Phase 3
- Intervention
- Domperidone
- Conditions
- Gastric Residual Volume
- Sponsor
- Ain Shams University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- assess the effect of oral Domperidone preoperatively on gastric residual volume by ultrasound for patients undergoing elective surgeries under general anesthesia
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
General Anesthesia requires preoperative fasting according to specific instructions. Regarding Fasting Guidelines, The American Society of Anesthesiologists (ASA) recommends patients to fast from fatty food or meat eight hours prior to surgery, non-human milk or light meal for six hours prior, breast milk for four hours prior, and clear liquids including water, pulp-free juice, and tea without milk for two hours prior to the anesthetic. ASA fasting guidelines application represents the primary method to avoid aspiration as it ensures that stomach is empty before induction of anesthesia. These guidelines cannot be applied on all cases as in urgent or emergent situations or in morbidities associated with delayed gastric emptying, like Diabetes mellitus and some neurological disorders (
Investigators
Amin Mohammed Alansary Amin Ahmed Helwa
Assistant professor
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Patients of both sexes
- •aged between 18-65 years
- •who are categorized by ASA physical status as I or II
- •undergoing elective surgeries under general anesthesia
Exclusion Criteria
- •Patients with known or suspected delayed gastric emptying (e.g. Diabetes mellitus) -psychiatric disorders
- •hypersensitivity to the study medications
- •peoples undergoing surgeries that associated with high incidence of Post operative nausea and vomiting (PONV) (e.g. Cholecystectomy, gynecological, ophthalmological, otorhinolaryngological, and laparoscopic surgeries).
Arms & Interventions
Domperidone
Intervention: Domperidone
Folic acid
Intervention: Folic acid
Outcomes
Primary Outcomes
assess the effect of oral Domperidone preoperatively on gastric residual volume by ultrasound for patients undergoing elective surgeries under general anesthesia
Time Frame: first 2 hours preoperative
patients will receive 400 ml of apple juice as a clear fluid, two hours preoperatively, and oral Domperidone tab or placebo tab