Fasting vs Non-fasting Prior To coronary catheterization 1.6
Research type
Research Study
Full title
Fasting Versus Non-fasting Prior To Elective Cardiac Catheterization
IRAS ID
215149
Contact name
Jonas Eichhofer
Contact email
Sponsor organisation
Blackpool Teaching Hospitals NHS Foundation Trust
Clinicaltrials.gov Identifier
17/NW/0456, HRA/REC reference
Duration of Study in the UK
0 years, 2 months, 16 days
Research summary
The current practice of fasting before cardiac catheterization is not based on any studies. If the procedure is to be delayed ( which is common due to busy catheterization lab), this could result in patient's dis-satisfaction and hypoglycemia. Occasionally, cancellation occur because patients are found to be non fasting ( not following the current protocol). The old data of fasting was extrapolated from procedure done under general anesthesia. Now days, cardiac catheterization is always done under local anesthesia and mild sedation. As a matter of fact, emergency cardiac catheterization done for heart attack patients carries more risk than elective one , and are still done without fasting with no reported complication rate like lung aspiration .
The highest level of evidence to change the current practice comes from randomized control study. This study has been designed to challenge the current practice. The patients will be divided into 2 groups:
- Fasting group (current practice): Clear fluids up to the time of the procedure and no food for at least 2 hours before the procedure.
-Non Fasting Group: clear fluids and food and up to the time of the procedure
Our aim is to show that there is no difference with regards to potential complications between fasting (current practice) and non fasting (new practice) groups of patients with less incidence of hypoglycemia (low blood sugar) and hypotension in non fasting group. In addition, we believe that patient satisfaction will be improved if patients are allowed to eat freely before the procedure and the catheter lab working ability will be maximized as the list can be filled promptly with patient on the waiting list (as fasting is no longer required) if a previously booked patient has to be cancelled in the last minute improving patient experience along with the associated financial benefits.
REC name
North West - Liverpool Central Research Ethics Committee
REC reference
17/NW/0456
Date of REC Opinion
20 Oct 2017
REC opinion
Further Information Favourable Opinion