Идёт набор NCT07488468

Quality Improvement Project to Reduce Preoperative Fasting Times Before Elective Procedures

— Наблюдательное Preoperative Fasting Perioperative Patient Comfort / Quality of Care Postoperative Nausea and Vomiting (PONV) Postoperative Pulmonary Complications

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
Кому может быть актуально: Состояния в реестре: Preoperative Fasting, Perioperative Patient Comfort / Quality of Care, Postoperative Nausea and Vomiting (PONV), Postoperative Pulmonary Complications. Базовые параметры: Без ограничений · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: Германия
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Обзор

This single-center quality improvement project evaluates preoperative fasting times before elective procedures requiring anesthesiology care. The project aims to reduce prolonged fasting for clear fluids by implementing a local standard operating procedure (SOP) allowing patients to drink clear liquids until being called to the operating room ("drink until called"), supported by staff education and fasting instruction cards. Fasting times and selected perioperative outcomes will be assessed before and after implementation.

Подробное описание

Traditionally, surgical patients are instructed to fast for prolonged periods to reduce the risk of pulmonary aspiration. International guidelines recommend fasting from clear liquids for 2 hours prior to elective procedures, yet real-world fasting often extends to 6-10 hours, which can impair patient well-being and may contribute to complications such as dehydration, hypoglycemia, postoperative nausea and vomiting, and delirium-particularly in older or frail patients. This quality improvement project follows the Plan-Do-Study-Act (PDSA) framework.

Plan: Review evidence and decide to implement "drink until called to the OR." Do: Train anesthesiology staff, adapt local SOPs, provide oral patient instructions, and introduce fasting instruction cards for patients and staff.

Study: Record and analyze fasting times and fluid intake prior to anesthesia induction; assess effectiveness and adjust strategies.

Act: Add further staff education, posters, and short instructional screencasts to reinforce the updated fasting guidance.

Первичные конечные точки

Preoperative fasting time (clear liquids and solids) [Срок оценки: At anesthesia induction.]
PACU length of stay [Срок оценки: PACU admission to discharge.]

Вторичные конечные точки (8)

Preoperative fasting time (clear liquids and solids) [Срок оценки: At anesthesia induction (pre vs post implementation periods).]
Patient satisfaction regarding fasting [Срок оценки: immediately after the intervention/procedure/surgery up to 1 day postoperatively]
Perioperative complications [Срок оценки: Intraoperative and immediate postoperative period (PACU).]
Postoperative pulmonary and gastrointestinal complications [Срок оценки: During the hospital stay up to 30 days]
Delirium occurrence [Срок оценки: During the hospital stay, up to 30 days]
Hospital length of stay and in-hospital mortality [Срок оценки: Until hospital discharge / up to 30 days]
Acute kidney injury (AKI) [Срок оценки: Within the first 3 postoperative days.]
ICU/IMC admission [Срок оценки: During the hospital stay up to 30 days]

Критерии участия

Критерии включения

All patients elective surgery or intervention requiring with anesthesiology care general anesthesia, regional anesthesia, sedation, or anesthesiology stand-by