Pre-procedural fasting is routinely conducted to prevent pulmonary aspiration regarding sedation or anesthesia. However, prolonged fasting cause hypoglycemia, dehydration, nausea, and patient discomfort. Moreover, because children have small reserved energy, prolonged fasting need to be prohibited. Therefore, this study is designed to investigate the safety and efficacy of new fasting policy allowing water until 1 hour before sedation compared to the standard fasting time (4 hours of fasting including water).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
68
Oral intake is not allowed for 4 hours before sedation including water
Oral intake is not allowed for 4 hours before sedation, while water is allowed to intake before 1 hour of sedation
Kangbuk Samsung Hospital
Seoul, South Korea
Gastric astral cross-sectional area
Gastric astral cross-sectional area measured with gastric ultrasound
Time frame: 10 minutes before sedation
Estimated gastric volume
Calculated gastric volume using the formula
Time frame: 10 minutes before sedation
Perlas grade
Perlas grade 0 : no risk of aspiration, Perlas grade 1 : minimal risk of aspiration, Perlas grade 2: high risk of aspiration
Time frame: 10 minutes before sedation
Quality of sdeation
0, no response to pain; 1, slight response to pain; 2, response to pain; 3, response to calling
Time frame: 10 minutes after sedation
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