Nurses’ use of evidence in pre-operative fasting

Dean, Antonia

doi:10.7748/ns.17.12.33.s51

Cited by 3 publications

(4 citation statements)

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“…Within this study, the nurses felt that patients should be fasted up to eight hours from solid food and four to six hours from clear fluids. Recent evidence, however, stipulates that patients should only be fasted for four to six hours from solid food and be allowed clear fluids up until two to three hours pre-operatively (Dean and Fawcett 2002). The current study indicated that while the nurses were aware of the rationale behind why a patient needs to fast, there was an apparent lack of awareness regarding up-to-date studies.…”

Section: Discussion and Reflectionmentioning

confidence: 64%

“…General anaesthesia has always carried the risk of vomiting during induction, which may lead to serious complications and can even be fatal (Dean and Fawcett 2002). Therefore, it is usual to deny all oral intake for up to four hours, and solid food from four to six hours before surgery (Rowe 2002).…”

Section: Literature Reviewmentioning

confidence: 99%

“…contents that can be potentially fatal (Dean and Fawcett 2002). Ensuring that a patient fasts before an operation is perhaps one of the most fundamental pre-operative responsibilities that nurses perform on a daily basis.…”

mentioning

confidence: 99%

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Pre-operative fasting for elective surgical patients

Woodhouse

2006

Nursing Standard

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Section: Discussion and Reflectionmentioning

confidence: 64%

Section: Literature Reviewmentioning

confidence: 99%

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Pre-operative fasting for elective surgical patients

Woodhouse

2006

Nursing Standard

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“…U nekim bolnicama pacijentov predstavnik poma'e pacijentu da razume situaciju, naro~ito kada le~enje uklju~uje i hirur{ku intervenciju. Uvek kada je to mogu}e lekar treba da bude uklju~en u obja{njavanju situacije pacijentu [30][31][32][33][34][35] .…”

Section: Priprema Za Operacijuunclassified

"I am sorry, I have bad news...": Principles in informing patients on the gravity of a disease and the treatment

et al. 2007

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The discovery of the appearance of a serious disease, and the necessity for diagnostics, treatment and rehabilitation, particularly when malignity is involved, represents exceptionally stressful news for the patient and his family. Most often this is a task for the physician. In this paper the authors consider the meaning of bad news in unexpected life events which significantly disturb the individual psycho-social ballance of the patient, as well as the familly dynamics and structure. It presents a review of available literature on the subject of the definition of so-called "bad news", the development of approaches in announcement, and current practical approaches and models which assist physicians in helping suffering patients in professional and humane ways. It points out inadequacies in the education of phisicians for this kind of task, and the variety of approaches. With the aim of improving the education of phisicians, and especially clinicians in surgical fields, the authors recommend a number of educational programs: education in the area od psychological and psychiatric aspects of learning of a serious disease, including acute reactions such as depressive states, reactive psychotic states, consumption of alcohol, etc.; education in the area of the family life cycle, and the effect of the disease as an unexpected life crisis on the family dinamic; education in the area of fundamental principles of psycho-and pharmaco-therapy, as well as the provision of support to the patient and his familly; training in the skills of announcing bad news to the patient and his familly through the explanatory presentation of the case and supervised simulation of sessions.

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Acid Aspiration Syndrome

Farman

2004

British Journal of Perioperative Nursing (United Kingdom)

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All patients undergoing general anaesthetic are at risk of acid aspiration, particularly in emergency situations when they have not been starved preoperatively. To minimise the risk of acid aspiration, anaesthetists and anaesthetic nurses employ Rapid Sequence Induction of anaesthesia, cricoid pressure and endotracheal intubation. Knowledge of airway anatomy, airway management techniques, anaesthetic agents, muscle relaxant drugs, and Sellick's Manoeuvre help the anaesthetic nurse ensure the safety of the high risk patient.

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Nurses’ use of evidence in pre-operative fasting

Abstract: By reviewing the literature on pre-operative fasting and reflecting on the evidence base for nursing practice, this article aims to offer explanations of why nurses act contrary to evidence which suggests that their practice is outdated.

Cited by 3 publications

References 0 publications

Pre-operative fasting for elective surgical patients

Pre-operative fasting for elective surgical patients

"I am sorry, I have bad news...": Principles in informing patients on the gravity of a disease and the treatment

Acid Aspiration Syndrome

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