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Maltodextrin Versus Sugar Water Carbohydrate Loading and Gastric Volume in Geriatric Lower Limb Orthopedic Surgery

RecruitingNAAges 60 Years - anyAllUdayana University
NCT07872683 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Before surgery, patients are asked to fast so the stomach is empty and stomach contents cannot enter the lungs during anesthesia. Long fasting is uncomfortable and can raise blood sugar and stress responses in older adults. Giving a carbohydrate drink up to 2 hours before surgery is part of enhanced recovery (ERAS) programs. It is not clear whether a maltodextrin drink or sugar water leaves less fluid in the stomach of older patients. This randomized, double-blind study enrolls patients aged 60 years and older who are having elective lower limb orthopedic surgery under spinal or epidural anesthesia at Prof. Ngoerah General Hospital in Denpasar, Indonesia. Participants are assigned by chance to drink 400 mL of either a maltodextrin carbohydrate drink or sugar water 2 hours before anesthesia. The amount of fluid in the stomach is measured with bedside ultrasound before the drink and 2 hou

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📋 Eligibility rules (as published)
Inclusion Criteria: * Age 60 years or older with adequate cognitive function on brief cognitive screening * ASA physical status II or III * Elective lower extremity orthopedic surgery under neuraxial anesthesia Exclusion Criteria: * Emergency or urgent surgery * Unstable hemodynamics * Diagnosed gastrointestinal tract pathology * History of bariatric surgery * Dressing, wound cover or corset over the abdomen that prevents gastric ultrasound * Use of a proton pump inhibitor, H2 antagonist or drug affecting gastrointestinal motility (for example metoclopramide, loperamide) in the past week * Unable to lie in the lateral decubitus position * Body mass index below 19 or 35 kg/m2 and above * Refuses to take part after informed consent
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What it tests

  • Maltodextrin carbohydrate drink
  • Sugar water
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Where

1 site
Prof. Dr. I.G.N.G. Ngoerah General Hospital (RSUP Prof. Dr. I.G.N.G. Ngoerah)
Denpasar, Indonesia
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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