Pediatric anesthesia & critical care

Evaluation of Modified Fasting Protocols to Shorten Fasting Time Before Sedation in Children: A Prospective Randomized Noninferiority Trial

Paediatr AnaesthPublished Randomised controlled trial

Primary result · CSARLDP 45Result — go to the resultMean difference 0.16 95% CI −0.55 to 0.87

Authors' conclusion

The modified fasting protocol was noninferior to the standard in pediatric patients undergoing sedation for transthoracic echocardiography, as assessed by gastric ultrasound.

Study context

Population
Children aged < 3 years scheduled for elective transthoracic echocardiography under sedation
Comparison
Modified fasting vs standard fasting
Primary endpoint
Gastric antral cross-sectional area on ultrasound in right lateral decubitus position, upper body elevated 45° (CSARLDP 45)
Methodological detailsprospective, noninferiority
  • Prospective
  • Noninferiority

Primary result

CSARLDP 45

Mean difference

0.16

95% CI −0.55 to 0.87

Modified vs Standard
mean difference 0.16 (95% CI −0.55 to 0.87)

As reported in the abstract

Original publication

Evaluation of Modified Fasting Protocols to Shorten Fasting Time Before Sedation in Children: A Prospective Randomized Noninferiority Trial. Paediatr Anaesth. Published 18 June 2025. doi:10.1111/pan.15142

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