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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Parent's Perception and Compliance With Pre-operative Fasting Instructions in Paediatric Patients Undergoing Day Care Surgery

Conditions
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Fasting

Intervention / Treatment
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* Other: study of fasting time among pediatric patients undergoing day care surgery


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| paediatric patients undergoing day care surgery<br> | Other: study of fasting time among pediatric patients undergoing day care surgery<br>* parents of children undergoing day care surgery were given a questionnaire to be filled containing questions regarding time of fasting that was instructed and<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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. | 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. | 1.5 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Percentage of parents who attended Pre Anaesthesia Clinic |  | 1.5 years | 
| Percentage of parents who could recall fasting instructions that were provided in Pre Anaesthesia Clinic |  | 1.5 years | 
| Percentage of parents who could tell if they were provided separate fasting instructions for solids and liquid foods |  | 1.5 years | 
| Percentage of parents who could recall if fasting instructions were verbal or written orders |  | 1.5 years | 
| Percentage of parents who received fasting instructions from anyone other than the anaesthetist |  | 1.5 years | 
| Percentage of parents who understood the actual reason to fast before surgery |  | 1.5 years | 
| Percentage of patients who were not adequately fasted. |  | 1.5 years | 
| Percentage of parents who complained about fasting time being too long for their children |  | 1.5 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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compliance, fasting guidelines