Is Fasting Necessary for Elective Cerebral Angiography?

Kwon, O-Ki; Oh, Chang Wan; Park, H.; Bang, Jae Sung; Bae, Hee Joon; Han, Moon Ku; Park, S. H.; Han, Moon Hee; Kang, Hyun-Seung; Park, S. K.; Whang, Gilbert; Kim, B. C.; Jin, Sung-Chul

doi:10.3174/ajnr.a2408

Cited by 10 publications

(4 citation statements)

References 14 publications

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“…After a full-text review of these 21 publications, 10 studies were finally included in the meta-analysis ( Fig. 1 , Table 1 ) [ 3 13 15 16 17 18 19 20 21 22 ]. The other 11 studies were excluded for the following reasons: non-English literature (n = 2), use of oral contrast rather than intravascular injections (n = 3), review (n = 3) or systematic review (n = 1) articles, studies that only evaluated the incidence of adverse events in the fasting group (n = 1), and research reporting the merged incidence of nausea and vomiting (n = 1).…”

Section: Resultsmentioning

confidence: 99%

“…The other 11 studies were excluded for the following reasons: non-English literature (n = 2), use of oral contrast rather than intravascular injections (n = 3), review (n = 3) or systematic review (n = 1) articles, studies that only evaluated the incidence of adverse events in the fasting group (n = 1), and research reporting the merged incidence of nausea and vomiting (n = 1). Two of the included studies [ 16 17 ] reported the incidence of nausea and vomiting together as emetic complications, but we were able to calculate the incidence of nausea and vomiting separately after contacting the authors.…”

Section: Resultsmentioning

confidence: 99%

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Effects of Fasting versus Non-Fasting on Emetic Complications in Radiological Examinations Using Intravascular Non-Ionic Iodinated Contrast Media: A Systematic Review and Meta-Analysis

Choi,

Hong,

Cha

et al. 2023

Korean J Radiol

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Objective To compare the incidence of aspiration pneumonia, nausea, and vomiting after intravascular administration of non-ionic iodinated contrast media (ICM) between patients who fasted before contrast injection and those who did not. Materials and Methods Ovid-MEDLINE and Embase databases were searched from their inception dates until September 2022 to identify original articles that met the following criteria: 1) randomized controlled trials or observational studies, 2) separate reports of the incidence of aspiration pneumonia, nausea, and vomiting after intravascular injection of non-ionic ICM, and 3) inclusion of patients undergoing radiological examinations without fasting. A bivariate beta-binomial model was used to compare the risk difference in adverse events between fasting and non-fasting groups. The I 2 statistic was used to assess heterogeneity across the studies. Results Ten studies, encompassing 308013 patients (non-fasting, 158442), were included in this meta-analysis. No cases of aspiration pneumonia were reported. The pooled incidence of nausea was 4.6% (95% confidence interval [CI]: 1.4%, 7.8%) in the fasting group and 4.6% (95% CI: 1.1%, 8.1%) in the non-fasting group. The pooled incidence of vomiting was 2.1% (95% CI: 0.0%, 4.2%) in the fasting group and 2.5% (95% CI: 0.7%, 4.2%) in the non-fasting group. The risk difference (incidence in the non-fasting group–incidence in the fasting group) in the incidence of nausea and vomiting was 0.0% (95% CI: -4.7%, 4.7%) and 0.4% (95% CI: -2.3%, 3.1%), respectively. Heterogeneity between the studies was low (I 2 = 0%–13.5%). Conclusion Lack of fasting before intravascular administration of non-ionic ICM for radiological examinations did not increase the risk of emetic complications significantly. This finding suggests that hospitals can relax fasting policies without compromising patient safety.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effects of Fasting versus Non-Fasting on Emetic Complications in Radiological Examinations Using Intravascular Non-Ionic Iodinated Contrast Media: A Systematic Review and Meta-Analysis

Choi,

Hong,

Cha

et al. 2023

Korean J Radiol

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“…La prevalencia de náuseas en el grupo de ayuno fue del 2.6% y en el grupo de dieta ligera del 1.3%; respecto al desenlace de vómito solo el 0.7% del grupo de dieta presentó el evento. Kwon O-K et al 26 refiere en su estudio que el grupo de ayuno mostró un 2.5% de náuseas y vómito, y en el grupo de dieta, con una comida completa, el 1.0 % tuvo náuseas y vómito; estos resultados son similares con el estudio realizado. Hamid et al 27 patients are kept nilper-os/nil-by-mouth (NPO/NBM plantea que no tuvo ningún caso de intubación orotraqueal y ni un solo caso de neumonía por aspiración.…”

Section: Discussionunclassified

Ensayo clínico aleatorizado. Efecto de dos tipos de ayuno en pacientes sometidos a procedimientos de intervencionismo percutáneo bajo anestesia local en un servicio de hemodinámica en Medellín, 2019

Hernández¹,

Escobar

Pérez³

2023

MedUPB

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Objetivo: determinar el efecto de dos tipos de ayuno sobre parámetros de satisfacción, náuseas, vómito, presión arterial y glucometría en pacientes sometidos a procedimientos de intervencionismo percutáneo bajo anestesia local en un servicio de hemodinámica en Medellín, 2019. Metodología: ensayo clínico aleatorizado abierto de dos brazos en pacientes sometidos a procedimientos de intervencionismo percutáneo bajo anestesia local durante tres meses. Cada brazo con 153 participantes; se asignó un ayuno de seis horas y al grupo de exposición un ayuno de dos horas para alimentos de fácil digestión; no hubo cegamiento, se realizó cálculo de muestra, y se hizo análisis univariado, bivariado y modelo de regresión logística con la variable satisfacción. Resultados: en el grupo de ayuno de seis horas el 2.6% presentó náuseas y en el grupo de exposición el 1.3%; se observó un caso de vómito. La presión arterial y glucometría mostraron diferencias estadísticas sin relevancia clínica. Se encontró significancia estadística para mareo, cefalea, hambre, sed y tipo de ayuno respecto con la satisfacción del paciente. Los pacientes con ayuno tuvieron un puntaje de satisfacción entre 60 y 100 y los de dieta ligera entre 82.5 y 100 puntos. Conclusiones: El ayuno de dos horas en dieta ligera mejora la satisfacción de los pacientes, disminuye la sensación de hambre, sed, presencia de cefalea y mareo, comparado con un ayuno de seis horas. Este estudio no encontró diferencias en las variables hemodinámicas ni en la frecuencia de náuseas y vómito.

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“…12 There is no evidence-based support for fasting before cardiac catheterization, especially for local anesthesia and mild sedation, and there is a lack of supportive evidence for lung aspiration in emergencies, such as percutaneous coronary intervention or brain interventions. [13][14][15] Heart disease patients may also receive poor hydration and diuretics, thereby increasing the risk of contrast dye kidney damage. 16,17 The contemporary indication for free feeding before percutaneous endovascular intervention recently received supporting concepts from leaders of the Society for Cardiac Angiography & Interventions (SCAI), perhaps leaving some restrictions for large catheter sizebased and valvular procedures.…”

Section: Pregnancymentioning

confidence: 99%

Cuidados postintervención cardiovascular percutánea. COMECITE

Olvera-Ruiz¹,

Moguel-Ancheita²,

Lozoya-Morales³

et al. 2022

Cardiovasc Metab Sci

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Introducción: existe una vasta información en la literatura médica de los procedimientos coronarios, estructurales y periféricos en diversos estudios y guías, sin embargo, pocos documentos abordan temas como tiempo óptimo de ayuno, hidratación, cantidad de medio de contraste, monitoreo del paciente después del procedimiento; cuándo puede ir a casa, al área de hospitalización, a terapia intensiva o unidad coronaria y las posibles complicaciones vasculares. Este manuscrito de revisión contiene datos que ayudarán a los médicos a ser vigilantes de la integridad de los pacientes en hospitales y sus hogares.

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Is Fasting Necessary for Elective Cerebral Angiography?

Cited by 10 publications

References 14 publications

Effects of Fasting versus Non-Fasting on Emetic Complications in Radiological Examinations Using Intravascular Non-Ionic Iodinated Contrast Media: A Systematic Review and Meta-Analysis

Effects of Fasting versus Non-Fasting on Emetic Complications in Radiological Examinations Using Intravascular Non-Ionic Iodinated Contrast Media: A Systematic Review and Meta-Analysis

Ensayo clínico aleatorizado. Efecto de dos tipos de ayuno en pacientes sometidos a procedimientos de intervencionismo percutáneo bajo anestesia local en un servicio de hemodinámica en Medellín, 2019

Cuidados postintervención cardiovascular percutánea. COMECITE

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