Cardiothoracic & vascular anesthesia
Randomized controlled trial of liberal vs. standard fasting instructions in percutaneous cardiac procedures
Authors' conclusion
No adverse events or case delays were observed in the ad libitum clears group. No significant benefit, however, was observed in patient satisfaction or any of the pre-specified secondary endpoints in patients randomized to ad libitum clear liquids up to 2 h prior to their procedure.
Study context
- Population
- Adults undergoing transcatheter aortic valve replacement (TAVR) or arrhythmia ablation181 analysed
- Participants
- 200 adults
- Comparison
- Ad libitum vs Standard nil per os (NPO)
- Primary endpoint
- Composite satisfaction score:
- Patient-reported thirst
- Hunger
- Headache
- Nausea
- Lightheadedness
- Anxiousness before surgery
Primary result
As reported in the abstract
Ad libitum
12
median · IQR [6, 17]
Standard NPO
10
median · IQR [5, 15]
95% CI [−1, 4]
Secondary outcomes
Individual survey items (thirst, hunger, headache, nausea, lightheadedness, anxiousness)
- No significant differences between groups
Intraoperative vasopressor use, creatinine changes, rescue anti-emetic use, hospital length of stay (LOS)
- No significant differences between groups
Safety
Suspected aspiration
- No cases of suspected aspiration
Case delays attributed to the intervention
- No case delays attributed to the intervention
Original publication
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