Clinical trial Recruiting at 1 site Observational

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 typeObservational
SexAll
Enrollment1200000 (estimated)
SponsorMassachusetts General Hospital
Academic / other
Locations1 site (Boston, Massachusetts)
StatusRecruiting
StartedJanuary 1, 2016
Main results expectedDecember 31, 2028
Study endsDecember 31, 2030
Registry record updatedApril 8, 2026
Trial IDNCT07022951 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.