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Comparison study between preoperative standard fasting hours and gastric aspirate pH in paediatric age group

Completed
Conditions
Congenital malformations, deformations and chromosomal abnormalities, (2) ICD-10 Condition: L00-L99||Diseases of the skin and subcutaneous tissue, (3) ICD-10 Condition: N50||Other and unspecified disorders ofmale genital organs,
Registration Number
CTRI/2021/04/032882
Lead Sponsor
DrJai prakash sharma
Brief Summary

Preoperative fasting is an important  step to prevent postoperative complications like aspiration,post operative nausea,vomiting etc.Since Mendelson’s publication of the article regarding fatal consequences of aspiration of gastric contents preoperative fasting guidelines have evolved over the years.Presently the guidelines : 6hrs for solids,4hrs for liquids and 2hrs for clear fluids are followed internationally.But it is noticed that there is an excessive fasting time among patients as a result of fear of postponement of surgery,miscommunication etc.Though recent studie have shown that there is not much increase in incidence of  aspiration in children who are allowed to take fluids upto 1 hour prior to surgery the data is limited.So with this study  we are aiming to assess the gastric volume at different hours of preoperative fasting using ultrasound in prescribed age group and  to see if there is any relationship between gastric ph and gastric volume.Our hypothesis is that if there is no considerable change in the gastric ph there is provision to decrease our  standard fasting hours.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
60
Inclusion Criteria

Asa 1 and asa 2 patients undergoing general aneathesia.

Exclusion Criteria

Age less than 6yrs & more than 18yrs Patients with gastroesophageal disease Patients with poor GCS Patients undergoing emergency procedure.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the residual gastric volume following preoperative fasting regimen and realtion with gastric ph6hrs after fasting for solids | 4hrs for liquids | 2hrs for clear water
Secondary Outcome Measures
NameTimeMethod
To calculate residual gastric volume using ultrasonography in paediatric and adolescent age groupTo find if there is any relationship between residual gastric volume and preoperative dasting hours

Trial Locations

Locations (1)

All india institute of medical sciences,bhopal

🇮🇳

Bhopal, MADHYA PRADESH, India

All india institute of medical sciences,bhopal
🇮🇳Bhopal, MADHYA PRADESH, India
J p sharma
Principal investigator
9425609647
drjpsharma100@gmail.com

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