Shortened Preoperative Fasts in ICU

Montefiore Medical Center24 enrolled

Overview

Randomized controlled trial assessing the safety and benefits of shortening preoperative fasts on intubated ICU patients undergoing tracheotomy.

Patients undergoing bedside tracheotomy in an ICU are enrolled and randomized into two groups. Arm A receive a standard fast of at least 6 hours. Arm B receive a shortened fast of only 45 minutes, just before the surgery begins. Patients will be monitored for aspiration, pneumonia and our ability to delivery better nutrition as a result of the intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Intubated ICU Patients

Interventions

shortened fastOTHER

fast of 45 minutes prior to surgery as opposed to standard 6 hour fast

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * intubated ICU patient undergoing tracheotomy, receiving enteral nutrition, adult, proxy available for consent Exclusion Criteria: * pregnant, \<18yo, cannot tolerate enteral feeding

Locations (1)

Montefiore Medical Center

The Bronx, New York, United States

Outcomes

Primary Outcomes

Calories delivered

Calories delivered before and after surgery

Time frame: 72 hours

Secondary Outcomes

Aspiration

intraoperative or postoperative aspiration

Time frame: 5 days

Data from ClinicalTrials.gov

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