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

Post Graduate Institute of Medical Education and Research, Chandigarh1,050 enrolled

Overview

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.

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 Type

OBSERVATIONAL

Enrollment

1,050

Conditions

Fasting

Interventions

study of fasting time among pediatric patients undergoing day care surgeryOTHER

parents of children undergoing day care surgery were given a questionnaire to be filled containing questions regarding time of fasting that was instructed and

Eligibility

Sex: ALLMin age: 1 YearMax age: 12 Years

Medical Language ↔ Plain English

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

Locations (1)

Post Graduate Institute of Medical Education and Research,

Chandigarh, India

Outcomes

Primary Outcomes

Median duration of fasting

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.

Time frame: 1.5 years

Percentage of parents who followed the preoperative fasting instructions

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.

Time frame: 1.5 years

Secondary Outcomes

Percentage of parents who attended Pre Anaesthesia Clinic

Time frame: 1.5 years

Percentage of parents who could recall fasting instructions that were provided in Pre Anaesthesia Clinic

Time frame: 1.5 years

Percentage of parents who could tell if they were provided separate fasting instructions for solids and liquid foods

Time frame: 1.5 years

Percentage of parents who could recall if fasting instructions were verbal or written orders

Time frame: 1.5 years

Percentage of parents who received fasting instructions from anyone other than the anaesthetist

Time frame: 1.5 years

Percentage of parents who understood the actual reason to fast before surgery

Time frame: 1.5 years

Percentage of patients who were not adequately fasted.

Data from ClinicalTrials.gov

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