Million Anesthesia Cases: Preoperative fasting and perioperative outcomes
Official title: The Million Anesthesia Cases Study (MACS) - Retrospective and Prospective Characterization of Perioperative Fasting Practices and Their Effects on Clinical Outcomes
Run by Massachusetts General Hospital · NCT07022951 · Data updated 2026-11-12
This project will see if longer pre-surgery fasting harms people having procedures with anesthesia by looking at symptoms like hunger and thirst, physiologic changes such as low blood pressure and blood sugar shifts, and risks like aspiration and nausea.
Quick facts
| Study type | Observational |
|---|---|
| Sex | All |
| Enrollment | 1200000 (estimated) |
| Sponsor | Massachusetts General Hospital Academic / other |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | January 1, 2016 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2030 |
| Registry record updated | April 8, 2026 |
| Trial ID | NCT07022951 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients having diagnostic or therapeutic procedures under anesthesia at participating Mass General Brigham hospitals with their perioperative information recorded in Epic.
✕Probably not a fit
Patients who do not receive anesthesia or whose records are not available in the Epic system will be excluded and will not be represented by this study's results.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational cohort will analyze perioperative records from the Mass General Brigham Epic electronic health record covering a large sample of cases where patients received general, regional, or sedated anesthesia. Investigators will measure duration of preoperative fasting and link it to patient-reported well-being (anxiety, hunger, thirst), physiologic markers (blood pressure, urine output, glucose values), and clinical events (perioperative aspiration, postoperative nausea/vomiting, hypoglycemia). Inclusion requires a diagnostic or therapeutic procedure with anesthesia and available Epic data; patients not receiving anesthesia or without Epic records will be excluded. The study aims to identify associations between fasting duration and adverse perioperative outcomes to inform safer fasting practices.
Why it matters
Potential benefit: If successful, the findings could reduce unnecessary fasting, improve patient comfort, and lower risks like hypotension, glucose disturbances, and aspiration by informing fasting guidelines.
How similar studies have gone: Smaller trials and guideline updates support shorter clear-fluid fasting to improve comfort without increasing aspiration, but large-scale evidence linking fasting duration to physiologic outcomes and aspiration risk is still limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Diagnostic or therapeutic procedure with anesthesia care (general anesthesia, regional anesthesia, sedation, or a combination of the above) Exclusion Criteria: * Not receiving anesthesia care * Lack of medical record data in Epic electronic medical record system
Where it's running
-
Mass General Brigham Hospital Network of secondary, tertiary, and quaternary care hospitals
Boston, Massachusetts, United States Recruiting
Study contacts
- Study coordinator: Alexander Nagrebetsky, MD, MSc
- Email: anagrebetsky@mgh.harvard.edu
- Phone: 617-724-3292
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Ultrasound vs Nasofibroscopy to see if post-extubation swallowing problems show up in ICU
This study tests how well bedside neck ultrasound detects swallowing problems after extubation compared with FEES in ICU patients who were on ventilation.
-
Perioperative risks in adults with Brugada syndrome during anesthesia and related procedures
This registry follows adults with Brugada syndrome to see how often dangerous heart rhythms occur around anesthesia and up to 30 days after.
-
Neonatal Neurological Observation With Video AI
This study tests a real-time, non-contact video AI system to help monitor brain health in newborns with suspected brain injury during their hospital stay.
-
Remimazolam sedation in ICU patients on mechanical ventilation
This study tests whether using remimazolam for sedation helps mechanically ventilated ICU patients recover better compared to another sedative.
-
Sedation with dexmedetomidine, propofol, or both during cataract surgery
This project will test whether dexmedetomidine, propofol, or their combination (each given with fentanyl) provides the best sedation, safety, and surgeon satisfaction for adults having cataract surgery.
-
Light exposure during general anesthesia
This test checks whether covering patients' eyes during general anesthesia changes how much anesthetic adults (18–65) need.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.