Pre-operative fasting for elective surgical patients

Woodhouse, Alun

doi:10.7748/ns2006.02.20.21.41.c4055

Cited by 12 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In new preoperative fasting protocols, oral intake is typically limited for a shorter period of time . The CAS (1990) recommends fasting no less than 5 h prior to surgery, with each service developing its own specific guidelines CAS (1990), whereas the NNC (1993) and the ASA (1999) recommend cessation of solid food and clear liquids, respectively, for 6 and 2 h prior to the induction of anaesthesia …”

Section: Introductionmentioning

confidence: 99%

Evaluating the effects of preoperative fasting and fluid limitation

Tosun

Yava

Açıkel

2014

Int J of Nursing Practice

View full text Add to dashboard Cite

The aim of the study was to evaluate the effects of preoperative fasting and fluid limitation in patients undergoing laparoscopic cholecystectomy. Although traditional long-term fasting is not recommended in current preoperative guidelines, this is still a common intervention. Visual analogue scale was used to assess hunger, thirst, sleepiness, exhaustion, nausea and pain; State and Trait Anxiety Inventory was used to assess the preoperative anxiety of 99 patients undergoing elective laparoscopic cholecystectomy. Mean time of preoperative fasting and fluid limitation were, respectively, 14.70 ± 3.14 and 11.25 ± 3.74 h. Preoperatively, 58.60% of the patients experienced moderate anxiety. Patients fasting 12 h or longer had higher hunger, thirst, nausea and pain scores. The mean trait anxiety score of patients fasting 12 h or longer was statistically significantly higher. Receiving nothing by mouth after midnight preoperatively is a persisted intervention and results in discomfort of patients. Clinical protocols should be revised and nurses should be trained in current fasting protocols.

show abstract

Section: Introductionmentioning

confidence: 99%

Evaluating the effects of preoperative fasting and fluid limitation

Tosun

Yava

Açıkel

2014

Int J of Nursing Practice

View full text Add to dashboard Cite

show abstract

“…Establishing efficient communication and regular updates between theatre staff and ward nurses facilitates appropriate adjustment of fasting times, to reduce liquid fasting times. [33,34] In 2018 the Association of Paediatric Anaesthetists of Great Britain and Ireland and the European Society for Paediatric Anaesthesiology released a joint consensus statement, [35] subsequently endorsed by other international paediatric anaesthesia societies, [36][37][38] recommending that children receive clear liquid up to 1 hour before elective general anaesthesia. A 1-hour clear liquid fasting protocol enhances theatre flexibility and assists in individualising fasting times, [39,40] thus addressing a major obstacle to improved fasting compliance at RCWMCH.…”

Section: Discussionmentioning

confidence: 99%

A prospective study of paediatric preoperative fasting times at Red Cross War Memorial Children’s Hospital, Cape Town, South Africa

et al. 2020

View full text Add to dashboard Cite

Background. Fasting for liquids and solids is recommended prior to procedures requiring anaesthesia, to reduce the risk of pulmonary aspiration. Children often experience excessive fasting, which is associated with negative physiological and behavioural consequences, and patient discomfort. The duration of preoperative fasting in children in South Africa (SA) is unknown. Objectives. To determine compliance with fasting guidelines and fasting times of children prior to elective procedures performed under anaesthesia at a paediatric hospital in Cape Town, SA. The primary focus was fasting for clear liquid. We also intended to identify the most common reasons for prolonged clear liquid fasting. Methods. Over a 7-week period, we prospectively captured fasting times of consecutive patients undergoing elective surgical, medical and radiological procedures at Red Cross War Memorial Children's Hospital. Measurement outcomes were defined as the period from the last clear liquid, milk or solid feed to the start of anaesthesia. For analysis of compliance with preoperative fasting guidelines, institutional preoperative fasting target limits were established based on the standard 6-4-2-hour guideline.Results. The study included 721 elective paediatric cases. The mean (standard deviation (SD)) fasting time for clear liquids (n=585) was 8.0 (4.8) hours, with an adherence rate of 25.5% (95% confidence interval 22 -29) to the institutional target of 2 -4 hours. The mean (SD) fasting times for breastmilk (n=92), formula milk (n=116) and solid feeds (n=560) were 7.1 (2.8), 8.8 (2.8) and 13.9 (3.6) hours, respectively. The factors associated with clear liquid fasting >4 hours were inadequate fasting instructions, poor adherence to fasting orders, procedural delays and fasting to promote theatre flexibility. Conclusions. This study demonstrates that children in an SA hospital experience excessive fasting times prior to elective procedures. To reduce fasting durations and improve the quality of perioperative care, quality improvement interventions are required to create an adaptable fasting system that allows individualised fasting. Improving preoperative fasting times in children is the responsibility of all healthcare professionals in the multidisciplinary management team.

show abstract

“…Hemşirelerle görüşmede kaynaklar doğrultusunda araş-tırmacı tarafından geliştirilen iki form kullanılmıştır (Baril ve Portman 2007;Chapman 1996;Stuart 2006;Woodhouse 2006 ni belirtmişlerdir (%100). Hemşirelerin %61,5'i ameliyat öncesi besin/sıvı kısıtlaması ile ilgili verilen bilgiyi hastaların anladıklarını düşünmektedir.…”

Section: Veri Toplama Araçlarıunclassified