Peri-operative fasting - in elective surgical patients - general surgery, gynaecological and orthopaedics Surgery
Conditions
Interventions
Participating trusts were randomly allocated to one of three implementation strategies (6 trusts in two arms and 7 in one) on the basis of the prestudy sample size calculations the study had 80% power
Sponsors
University of Warwick (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Sites 19 acute hospital trusts across the 4 countries of the UK; England (15), Scotland (2), Wales (1), Northern Ireland (1) 2. Patients: 2.1. Patients over the age of 18 2.2. Patients undergoing elective general, orthopaedic or gynaecological surgery 2.3. Patients who could provide informed consent to participate
Exclusion criteria
Exclusion criteria: 1. Patients under the age of 18 2. Patients who are critically ill, had major surgery, in pain or suffering from any other discomfort 3. Emergency or trauma patients because we wish to look at routine fasting regimes 4. Patients who are cognitively impaired
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of fluid and food fast - from commencement of food fast to induction of anaesthesia and nil by mouth to induction of anaesthesia. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Patient's experiences of fasting 1.1. Qualitative interviews (pre-intervention 35, post-intervention 35) 1.2. Questionnaire (pre intervention 1069, post intervention 1215) 2. Practitioner's experiences of implementing changes to practice 2.1. Interviews with change agents and site contacts (pre intervention 28, post intervention 24) 2.2. Focus groups with staff (5 post intervention) 2.3. Learning Organisation Survey (pre intervention 758, post intervention 318) | — |
Countries
United Kingdom
Outcome results
None listed