Fasting
Conditions
Keywords
fasting, quality of recovery, surgery
Brief summary
The goal of this before and after observational study is to evaluate the impact of a global sensitization campaign (targeted on surgeons, anesthetist and patients) about pre-operative fasting in an adult population. The main questions it aims to answer are: * Does the sensitization campaign reduce fasting time? * Does reduce fasting time increase quality of post-operative recovery? Sensitization campaign will be performed between the before and after phases, it will include: * Planned and repeated mandatory on site lecture about pre-operative guidelines for surgeons, anesthetists and paramedics. * Reminder display in surgical wards and consults. * Individualized fasting cards for patients. * Short message service reminder on pre-operative fasting rules for patients. * Medical fasting prescription with clear fasting times.
Interventions
OTHERSensititization campaign on preoperative fasting rules
* Planned and repeated mandatory on site lecture about pre-operative guidelines for surgeons, anesthetists and paramedics. * Reminder display in surgical wards and consults. * Individualized fasting cards for patients. * Short message service reminder on pre-operative fasting rules for patients. * Medical fasting prescription with clear fasting times.
Sponsors
University Hospital, Angers
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
\- Adult undergoing a surgical procedure.
Exclusion criteria
* Already intubated patient before surgery. * Redo surgery during the same hospitalization * Medical indication of fasting (e.g : occlusive syndrome) * Patient unable to anwser the questionnaire. * Patient under lawful protection * Pregnant women * Minor (\<18 years)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Fasting time | Before surgery | Liquid and solid fasting time before surgery (minutes) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fasting exceeding 12 hours | Before surgery | Rate of fasting duration superior to 12 hours (liquid or solid) (percentage) |
| Preoperative anxiety | Before surgery | Scale of preoperative anxiety from 0 (no anxiety) to 10 (maximum anxiety possible) |
| Preoperative discomfort | Before surgery | Scale of preoperative disomfort from 0 (no discomfort) to 10 (maximum discomfort possible) |
| Feeling of thirst | Before surgery | Qualitative scale of preoperative thirst (none, moderate, significant) |
| Feeling of hunger | Before surgery | Qualitative scale of preoperative hunger (none, moderate, significant) |
| Preoperative oral carbohydrate loading | 2 hours preoperative period | Rate of oral cardbohydrate intake in the 2 hours preoperative period (percentage) |
| Rate of postoperative nausea or vomiting | Day of surgery | Rate of nausea or vomit during the post-operative period (percentage) |
| Patient satisfaction toward communication and explanation about preoperative fasting. | Day of surgery | Binary answer (yes or no) |
| Post-operative quality of recovery | Day 1 after surgery | French Quality of Recovery 15 score ( |
| Length of stay | Maximum 30 days follow up | Length of stay (days) |
| Post-operative surgical complication | Maximum 30 days follow up | Clavien-dindo classification from 0 (no complication) to 5 (death) |
| Preoperative nausea or vomiting | Before surgery | Rate of nausea or vomit in the preoperative period (percentage) |
Countries
France
Outcome results
None listed