Comparison of Residual Gastric Volume Between Children Who Drink Different Clear Oral Fluid Volume

Launched by BOSTON CHILDREN'S HOSPITAL · Nov 13, 2018

Keywords

ClinConnect Summary

This clinical trial is studying how different amounts of clear fluids (like water or juice without pulp) consumed before surgery affect the contents of the stomach in children aged 13 to 17. According to guidelines, kids are usually advised to fast for 2 hours before elective procedures, but there's no specific guidance on how much clear fluid they should drink. In this study, participants will be randomly divided into four groups, each drinking a different amount of clear fluid (3 ml, 5 ml, 7 ml, or 10 ml per kilogram of their body weight) before their scheduled upper GI endoscopy, a type of procedure to look at the digestive system.

To be eligible for this trial, children should be classified as ASA I or II (indicating they're generally healthy), be between 13 and 17 years old, and scheduled for this elective procedure. They should also be fluent in English. The study will include 288 children in total, and during the endoscopy, doctors will measure how much fluid is left in their stomachs and its acidity. This information aims to help create better guidelines for fasting before surgery in the future, ensuring safer practices for young patients.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • ASA classification: I and II
• • 13-17 years
• • IPD cases or the first OPD case
• • Scheduled for elective EGD procedure.
• • All participants, families or guardians will be fluent in English.
• Exclusion Criteria:
• • Emergent EGD procedures
• • Patients with active upper GI bleeding
• • Patients who received preoperative oral medication
• • Patients who are diagnosed as GERD, achalasia or suspected to have gastroparesis status such as uncontrolled diabetes or end stage kidney disease.