Preoperative fasting

Ljungqvist, Olle; Søreide, Eldar

doi:10.1002/bjs.4066

Cited by 307 publications

(226 citation statements)

References 60 publications

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“…The medications used were also analyzed in this study, particularly atropine, due to their mechanisms of action that can cause a decrease in saliva and lead the patient to feel thirsty (12)(13)(14) .…”

Section: Discussionmentioning

confidence: 99%

“…The drugs used can also cause dryness of the oral mucosa in patients in the postoperative period (12,13) .…”

Section: Introductionmentioning

confidence: 99%

“…Among them, atropine deserves special attention, because it competes with the action of acetylcholine on the muscarinic receptors, causing relaxation of bronchial smooth muscle, decreasing gastric, bronchial and salivary secretion, and causing dry mouth, which leads the individual to feel thirsty (12,14) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação de estratégias no manejo da sede na sala de recuperação pós-anestésica

Aroni

Nascimento²,

Fonseca

2012

Acta paul. enferm.

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Objective: To evaluate simple and safe strategies to mitigate thirst in the immediate postoperative period (IPO). Methods: A quantitative, experimental, cross sectional study with a sample of 90 patients. Those who presented with thirst were divided randomly into two groups: water or ice. Results: 96 (75%) reported thirst. The preoperative fasting period varied from 8 to 37 hours, and there was no association between the type of anesthesia, bleeding, fasting time and thirst. The intensity of initial thirst was 5.1 for the water group, and 6.1 for the ice group. The methods tested were effective in relieving thirst in the IPO. The ice group had a final intensity of 1.51, as compared to 2.33 in the water group. Two (2.2%) patients experienced vomiting during the study. Conclusion: Thirst is a real discomfort and causes great suffering in the patient. This study indicated viable and safe strategies to manage thirst in the IPO. Keywords: Thirst; Perioperative nursing; Recovery room resumo Objetivo: Avaliar estratégias simples e seguras para mitigar a sede no pós-operatório imediato (POI). Métodos: Estudo quantitativo, experimental, de corte transversal, com amostra de 90 pacientes. Aqueles que apresentaram sede foram divididos aleatoriamente em dois grupos, Água ou Gelo. Resultados: 96 (75%) relataram sede. O jejum pré-operatório variou de 8 a 37 horas e não houve associação entre o tipo de anestesia, sangramento, tempo de jejum e sede. A intensidade média inicial de sede foi de 5,1 para o grupo Água e 6,1, ao grupo Gelo. Os métodos experimentados mostraram-se eficazes em aliviar a sede no POI. O grupo Gelo teve intensidade final de 1,51 contra os 2,33 de grupo Água. Dois (2,2%) pacientes apresentaram vômitos durante a pesquisa. Conclusão: A sede é um desconforto real e gera grande sofrimento ao paciente. Este estudo indicou estratégias viáveis e seguras no manejo da sede no POI. Descritores: Sede; Enfermagem perioperatória; Sala de recuperação resumen Objetivo: Evaluar estrategias simples y seguras para mitigar la sed en el postoperatorio inmediato (POI). Métodos: Estudio cuantitativo, experimental, de corte transversal, realizado con una muestra de 90 pacientes. Aquellos que presentaron sed fueron divididos aleatoriamente en dos grupos, Agua o Hielo. Resultados: 96 (75%) relataron sed. El ayuno pre-operatorio varió de 8 a 37 horas y no hubo asociación entre el tipo de anestesia, sangrado, tiempo de ayuno y sed. La intensidad promedio inicial de sed fue de 5,1 para el grupo Agua y 6,1, al grupo Hielo. Los métodos experimentados se mostraron eficaces para el alivio de la sed en el POI. El grupo Hielo tuvo una intensidad final de 1,51 contra los 2,33 del grupo Agua. Dos (2,2%) pacientes presentaron vómitos durante la investigación. Conclusión: La sed es un disconfort real y genera gran sufrimiento al paciente. En este estudio se indicaron estrategias viables y seguras en el manejo de la sed en el POI. Descriptores: Sed; Enfermería perioperatoria; Sala de recuperación

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Section: Discussionmentioning

confidence: 99%

“…The drugs used can also cause dryness of the oral mucosa in patients in the postoperative period (12,13) .…”

Section: Introductionmentioning

confidence: 99%

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Avaliação de estratégias no manejo da sede na sala de recuperação pós-anestésica

Aroni

Nascimento²,

Fonseca

2012

Acta paul. enferm.

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“…One previous study administered the preoperative carbohydrate beverage to a group of type 2 diabetics and found that gastric emptying of the drink was the same -if not faster -than that of healthy controls, with a return to baseline blood glucose levels three hours after ingestion (90). It may be that gastric emptying of liquids remains relatively normal in these populations with alterations found only in the emptying of solids (91).…”

Section: Future Directionsmentioning

confidence: 97%

Preoperative Carbohydrate Loading in Patients Undergoing Coronary Artery Bypass or Spinal Surgery

Tran¹,

Wolever²,

Errett³

et al. 2014

Survey of Anesthesiology

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Patients undergoing elective surgery typically fast for 8-12 hours before surgery. However, oral preoperative carbohydrate ingestion may increase postoperative insulin sensitivity and reduce complications. To determine the effects of carbohydrate supplementation prior to CABG or spinal surgery, 38 patients were randomized to receive a carbohydrate supplement or to fast for 12 hours preoperatively. Baseline and postoperative measurements of insulin sensitivity were completed using the short insulin tolerance test and homeostasis model assessment (HOMA). Patient discomfort was measured immediately before surgery. Insulin sensitivity was not significantly different between groups. However, the supplemented group experienced a significantly smaller rise in glucose levels following surgery (p=0.03) and had higher postoperative HOMA-β scores (p=0.02). Fasted patients were significantly more thirsty (p=0.01), hungry (p=0.04) and anxious (p=0.01) before surgery and experienced a significantly longer hospital stay (p=0.008). Carbohydrate supplementation improved outcomes, warranting re-evaluation of fasting practices prior to major surgery.ii ACKNOWLEDGEMENTS

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“…Patient hypovolemia may increase incidence of PONV and generous hydration or more liberal conduct regarding zero diet may ease these effects. (19) Inhalation anesthetics increase risk of PONV, mainly nitrous oxide. In studies with animals, this agent may alter the pressure of the middle ear and cause intestinal distension, besides activating the dopamine system.…”

Section: Preoperative Strategiesmentioning

confidence: 99%

Prevenção e tratamento de náuseas e vômitos no período pós-operatório

Gondim¹,

Japiassú²,

Filho³

et al. 2009

Rev. bras. ter. intensiva

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Preoperative fasting

Abstract: Most patients having elective operations can be allowed a free intake of clear fluids up to 2 h before anaesthesia. Preoperative carbohydrates reduce postoperative insulin resistance.

Cited by 307 publications

References 60 publications

Avaliação de estratégias no manejo da sede na sala de recuperação pós-anestésica

Avaliação de estratégias no manejo da sede na sala de recuperação pós-anestésica

Preoperative Carbohydrate Loading in Patients Undergoing Coronary Artery Bypass or Spinal Surgery

Prevenção e tratamento de náuseas e vômitos no período pós-operatório

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