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Randomized controlled trial assessing the safety and benefits of shortening preoperative fasts on intubated ICU patients undergoing tracheotomy.
Patients undergoing bedside tracheotomy in an ICU are enrolled and randomized into two groups. Arm A receive a standard fast of at least 6 hours. Arm B receive a shortened fast of only 45 minutes, just before the surgery begins. Patients will be monitored for aspiration, pneumonia and our ability to delivery better nutrition as a result of the intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A - control | No Intervention | standard fast, at least 6 hours prior to tracheotomy | |
| B - shortened fast | Experimental | fast of only 45 minutes prior to incision |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| shortened fast | Other | fast of 45 minutes prior to surgery as opposed to standard 6 hour fast |
|
| Measure | Description | Time Frame |
|---|---|---|
| Calories delivered | Calories delivered before and after surgery | 72 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Aspiration | intraoperative or postoperative aspiration | 5 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Montefiore Medical Center | The Bronx | New York | 10467 | United States |
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