Observance of Preoperative Fasting Time a Before-and-after Sensitization Campaign to Fasting Guidelines Study

Study Overview
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Brief Summary
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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.

Official Title
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Observance of Preoperative Fasting Time a Before-and-after Sensitization Campaign to Preoperative Fasting Guidelines Study

Conditions
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Fasting

Intervention / Treatment
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* Other: Sensititization campaign on preoperative fasting rules


Participation Criteria
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Eligibility Criteria
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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)

Ages Eligible for Study
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Minimum Age: 18 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 |
| --- | --- |
| Before<br>This group will undergo their preoperative fasting period as standard care. | |
| After<br>This group will undergo their preoperative fasting period after the sensitization campaign about preoperative fasting rules. | Other: Sensititization campaign on preoperative fasting rules<br>* 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.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Fasting time | Liquid and solid fasting time before surgery (minutes) | Before surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Preoperative oral carbohydrate loading | Rate of oral cardbohydrate intake in the 2 hours preoperative period (percentage) | 2 hours preoperative period | 
| Fasting exceeding 12 hours | Rate of fasting duration superior to 12 hours (liquid or solid) (percentage) | Before surgery | 
| Preoperative anxiety | Scale of preoperative anxiety from 0 (no anxiety) to 10 (maximum anxiety possible) | Before surgery | 
| Preoperative discomfort | Scale of preoperative disomfort from 0 (no discomfort) to 10 (maximum discomfort possible) | Before surgery | 
| Feeling of thirst | Qualitative scale of preoperative thirst (none, moderate, significant) | Before surgery | 
| Feeling of hunger | Qualitative scale of preoperative hunger (none, moderate, significant) | Before surgery | 
| Preoperative nausea or vomiting | Rate of nausea or vomit in the preoperative period (percentage) | Before surgery | 
| Rate of postoperative nausea or vomiting | Rate of nausea or vomit during the post-operative period (percentage) | Day of surgery | 
| Patient satisfaction toward communication and explanation about preoperative fasting. | Binary answer (yes or no) | Day of surgery | 
| Post-operative quality of recovery | French Quality of Recovery 15 score ( | Day 1 after surgery | 
| Length of stay | Length of stay (days) | Maximum 30 days follow up | 
| Post-operative surgical complication | Clavien-dindo classification from 0 (no complication) to 5 (death) | Maximum 30 days follow up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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fasting, quality of recovery, surgery