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Trial registered on ANZCTR
Registration number
ACTRN12622000557730
Ethics application status
Approved
Date submitted
25/02/2022
Date registered
11/04/2022
Date last updated
11/04/2022
Date data sharing statement initially provided
11/04/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Ketone body levels and capillary blood glucose levels response using three different clear liquids 1 hour before procedure in outpatient surgery patients from 1 to 47 months old.
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Scientific title
Ketone body levels and capillary blood glucose levels response using three different clear liquids 1 hour before procedure in outpatient surgery patients from 1 to 47 months old.
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Secondary ID [1]
306527
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metabolic response to fasting
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Outpatient surgery
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Condition category
Condition code
Metabolic and Endocrine
322805
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0
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Normal metabolism and endocrine development and function
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Surgery
323116
323116
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
After the child is admitted to the admissions room, his/her personal data will be verified, 3 cc/kg of the beverage of the assigned group will be given at random (Gatorade®, aguapanela or water) one hour before the anesthetic induction and the parents or guardians will be informed that the child must consume the liquid in less than 5 minutes, once only. To monitor adherence to the intervention, the parents or guardians must return of empty beverage container, and and parents should supervise the intake of the liquid. Additionally, the exact time of ingestion of the drink will be noted. Before going to the operating room and anesthetic induction, the time elapsed since the time of drinking the clear liquid will be verified.
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Intervention code [1]
322958
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Treatment: Other
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Comparator / control treatment
After the child is admitted to the admissions room, his/her personal data will be verified and no beverage will be given to the randomly assigned control group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Ketone body levels using a finger-prick blood samples and FreeStyle Precision blood ß-ketone test strips.
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Assessment method [1]
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Timepoint [1]
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one hour after intervention
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Secondary outcome [1]
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Capillary glucose level using a finger-prick and FreeStyle Precision blood glucose test strips
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Assessment method [1]
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Timepoint [1]
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One hour after intervention
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Eligibility
Key inclusion criteria
- Patients from 1 to 47 months old are scheduled for ambulatory surgery.
- Patients whose parents or guardians sign the informed consent form.
- American Society of Anesthesiologists ASA Classification I-II
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Minimum age
1
Months
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Maximum age
47
Months
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
- Patients with a suspected or diagnosed history of gastrointestinal disorders (including gastroesophageal reflux, hiatal hernia or gastritis), renal failure, severe cerebral palsy, enteropathies, esophageal stricture, achalasia or diabetes mellitus.
- Patients with a history of endocrine disorders.
- Patients with chronic steroid use.
- Time from time of consumption of clear liquid and anesthetic induction less than 1 hour or more than 2 hours.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
The allocation will be kept hidden by sealed opaque envelopes.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The randomization sequence will be generated by permuted blocks size 4 using the random permutation generator application from randomization.org. The randomization sequence will be generated by the epidemiologist who will not be in contact with the patients or with the nursing or anesthesiology staff who will care for them. Anesthesiologists will be masked to the intervention given to the child one hour prior to surgery.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Continuous variables will be evaluated for normal distribution using the Kolmogorov-Smirnov test and will be presented as averages and standard deviation in the case of a normal distribution or as medians and interquartile range in the case of a non-normal distribution. Categorical variables are presented as frequency distributions. Differences between groups of continuous variables will be evaluated with Student's t-test (if they have normal distribution) or the Mann-Whitney U test (if they do not have normal distribution). Differences for categorical variables will be evaluated by the chi-square test or Fisher's exact test. A P value <0.05 will be considered statistically significant.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/05/2022
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Actual
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Date of last participant enrolment
Anticipated
31/10/2022
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Actual
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Date of last data collection
Anticipated
31/10/2022
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Actual
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Sample size
Target
152
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Colombia
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State/province [1]
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Caldas
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Fernando Arango
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Address [1]
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Facultad de Ciencias para la Salud
Universidad de Manizales
Carrera 9 A # 19-03
Manizales, Caldas
Colombia
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Country [1]
311105
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Colombia
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Primary sponsor type
Individual
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Name
Fernando Arango
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Address
Facultad de Ciencias para la Salud
Universidad de Manizales
Carrera 9 A # 19-03
Manizales, Caldas
Colombia
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Country
Colombia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
312436
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Comite de Bioetica - Facultad de Ciencias para la Salud - Universidad de Caldas
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Ethics committee address [1]
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Carrera 25 # 48 - 57 Facultad de Ciencias para la Salud Manizales, 170001
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Ethics committee country [1]
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Colombia
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Date submitted for ethics approval [1]
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12/09/2021
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Approval date [1]
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27/10/2021
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Ethics approval number [1]
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CBCS-050
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Summary
Brief summary
Fasting long periods in the paediatric population have been associated with fast progression to a metabolic state characterised by catabolism. Thenew preoperative fasting recommendations shorten the fasting time to 1 hour for clear liquids in pediatric patients undergoing ambulatory surgery. However, the options vary from water to sports drinks. Based on the different nutritional properties of each beverage, this research project aims to evaluate three different clear liquids at doses of 3 ml per kg offered 1 hour before anesthetic induction and their effect on metabolic level by measuring the value of ketone bodies and capillary blood glucose. Thus, it will be possible to have a more objective assessment when determining the clear liquid to be recommended.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Andres Felipe Murillo
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Address
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Facultad de Ciencias para la Salud
Universidad de Caldas
Carrera 25 # 48-57
Manizales, Caldas
Colombia
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Country
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Colombia
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Phone
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+573127303994
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Fernando Arango
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Address
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Facultad de Ciencias para la Salud
Universidad de Manizales
Carrera 9 A # 19-03
Manizales, Caldas
Colombia
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Country
117647
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Colombia
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Phone
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+573136520781
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Fernando Arango
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Address
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Facultad de Ciencias para la Salud
Universidad de Manizales
Carrera 9 A # 19-03
Manizales, Caldas
Colombia
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Country
117648
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Colombia
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Phone
117648
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+573136520781
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Fax
117648
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Email
117648
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Clinical, laboratory and demographic data
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When will data be available (start and end dates)?
Immediately following publication, available for 5 years after publication.
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Available to whom?
Only researchers who provide a methodologically sound proposal
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Available for what types of analyses?
For IPD meta-analyses
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How or where can data be obtained?
[email protected]
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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