- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05729100
The Effects of Carbohydrate-electrolyte Solution on Metabolic Responses in Paediatric Patients
The Effects of Preoperative Oral Carbohydrate-electrolyte Solution Compared to Standard Clear Fluid on Metabolic Responses, Preoperative Anxiety and Postoperative Complications in Paediatric Patients
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
DKI Jakarta
-
Jakarta, DKI Jakarta, Indonesia
- Recruiting
- Ciptomangun Kusumo Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients aged 1 month - 12 years old
- Patients with physical status according to American Society of Anesthesiologists (ASA) 1 or 2
- Patients undergoing surgery with general anesthesia with or without regional anesthesia
- Has a relatively good enteral tolerability
Exclusion Criteria:
- Patients with endocrine abnormalities
- Patients requiring Pediatric intensive care unit (PICU) for post operative care and is likely to remain intubated following the end of the surgery
- Patients who receive antiemetic therapy within 24 hours before the surgery
- Patients undergoing cardiac surgery or neurosurgery
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Oral carbohydrate-electrolyte solution
The intervention group who will receive 50 ml/kg of oral solution containing carbohydrate-electrolyte
|
Oral solution containing 10% glucose and electrolyte (in every 300 ml of fluid (contains 30 gr dextrose, 150 mg Natrium chloride, 366 mg Kalium chloride)
|
Sham Comparator: Standard clear fluid
The control group who will receive 50 ml/kg of clear fluid (i.e.
water; which does not contain carbohydrate-electrolyte)
|
Standard clear fluid (water)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Insulin resistance
Time Frame: 24 hours
|
Insulin resistance will be evaluated using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), which is a model to estimate insulin sensitivity based on the ratio of insulin and blood glucose. The calculation of the HOMA-IR model uses the formula : HOMA-IR = insulin level (microIU/ml) x blood glucose level (mmol/L) / 22.5 Insulin resistance will be evaluated after the induction of anesthesia, and 24 hours following the operation. Since HOMA-IR is a ratio that requires insulin and blood glucose level, the insulin level (microIU/ml) and the blood glucose level (mmol/L) will also be evaluated after the induction, and 24 hours following the operation. A higher HOMA-IR ratio represents an increased level of insulin resistance. |
24 hours
|
Interleukin-6
Time Frame: 24 hours
|
The level of interleukin-6 (pg/dl) in this study is evaluated to reflect the degree of body response to surgical trauma.
It will be measured after the induction of anesthesia, and 24 hours after surgery.
A higher interleukin-6 level indicates a higher inflammatory reaction following surgical trauma.
|
24 hours
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Preoperative anxiety
Time Frame: 1 hour
|
Preoperative anxiety will be assessed using the Modified Yale Preoperative Anxiety - Short Form Scale.
The scale incorporates 4 parameters to be assessed, the lowest score is 22.9 and the highest score is 61.45.
The score below 61.45 is considered 'low anxiety' level, while the score at or more than 61.45 is considered 'high anxiety' level.
This scale will be assessed when the patient arrived in the preparation room, before going to the operating room.
|
1 hour
|
Post operative nausea and vomiting
Time Frame: 1 hour
|
The incidence of post operative nausea and vomiting will be documented in a yes or no fashion.
The post operative nausea and vomiting will be assessed after surgery in the recovery room.
|
1 hour
|
Emergence Delirium
Time Frame: 1 hour
|
The incidence of emergence delirium will be evaluated using the Paediatric Anaesthesia Emergence Delirium score.
Emergence delirium will be assessed right after the surgery when the patient is in the recovery room.
The lowest score is 0, the highest is 20.
A higher score indicates a higher possibility for the occurrence of emergence delirium.
The score of more than 12 is considered positive for the occurrence of emergence delirium.
|
1 hour
|
Postoperative pain
Time Frame: 1 hour
|
The postoperative pain will be assessed after the surgery in the recovery room using the Visual Analogue Scale. The score ranges from 0 (no pain) to 10 (worst pain). A higher score indicates a more severe pain. For the preverbal children who might be difficult to communicate the pain, the Face, Legs, Activity, Cry, Consolability (FLACC) scale will be used. This study uses the FLACC score for children younger than 7 years old. The FLACC score ranges from 0-10, the higher the score represent the more severe the pain might be. |
1 hour
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- IndonesiaUAnes210
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Fasting
-
USDA, Western Human Nutrition Research CenterUniversity of California, DavisCompletedCardiovascular Risk Factor | Athletic Performance | Fasting | Resting Energy Expenditure | Intermittent FastingUnited States
-
Desitin Arzneimittel GmbHBioPharma Services, IncCompleted
-
Beth Israel Deaconess Medical CenterCompleted
-
Gaziosmanpasa Research and Education HospitalCompleted
-
Postgraduate Institute of Medical Education and...Completed
-
Chulalongkorn UniversityCompleted
-
IPCA Laboratories Ltd.Completed
-
IPCA Laboratories Ltd.Completed
-
Dr. Reddy's Laboratories LimitedCompleted
Clinical Trials on Oral carbohydrate-electrolyte solution
-
The Hospital for Sick ChildrenCompletedGastroenteritisCanada
-
B. Braun Melsungen AGTerminated
-
Nevsehir Haci Bektas Veli UniversityCompletedFasting | Hip Arthropathy | Patient ComfortTurkey
-
Mead Johnson NutritionCompletedGastroenteritis AcuteThailand
-
Braintree LaboratoriesCompletedColonoscopyUnited States
-
B. Braun Melsungen AGTerminated
-
University of OklahomaCompletedDiabetes MellitusUnited States
-
Istanbul Sureyyapasa Chest Diseases and Chest Surgery...CompletedNon Small Cell Lung Cancer | Fasting | Postoperative PneumoniaTurkey
-
Eunah Cho, MDCompletedGeneral AnesthesiaKorea, Republic of
-
B. Braun Melsungen AGCompletedPlasma Volume Replacement | Surgery of the Pancreatic HeadGermany