Prolonged starvation in paediatric surgery

Veall, G R; Floor, K; Dorman, Todd

doi:10.1111/j.1365-2044.1995.tb06005.x

Cited by 14 publications

(15 citation statements)

References 10 publications

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“…In a national survey performed in the United States [16], the anesthesiologists were more likely to allow clear liquids before elective surgeries for children than for adults. Patient compliance by avoiding some uncomfortable procedures including prolonged fasting periods that prone patients to dehydration must be counterbalanced with risk of aspiration [17]. However, this concept could allow the individual prescription of fasting periods according to each anesthesiology criteria.…”

Section: Discussionmentioning

confidence: 99%

“…According to experience in other centers, efforts to correct some adverse attitudes in relation to the fasting periods have not been completely successful [17,19,22,23]. If we are facing a more complex problem not limited to fasting periods, the contribution of the different groups of Mexican anesthesiologists to extend basic information in courses will result of major importance.…”

Section: Discussionmentioning

confidence: 99%

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Attitudes of Mexican anesthesiologists to indicate preoperative fasting periods: A cross-sectional survey

2002

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Attitudes of Mexican anesthesiologists to indicate preoperative fasting periods: A cross-sectional survey

2002

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“…As shown by Veall [14] child and parent compliance in carrying out fasting guidelines has received little attention [15]. Two audits of adherence to existing guidelines for fasting showed that many parents (77%) did not follow the instructions [15].…”

Section: Parental Noncompliancementioning

confidence: 97%

Threat perception, anxiety and noncompliance with preoperative fasting instructions among mothers of children attending elective same day surgery

Kushnir

Djerassi

Sofer

et al. 2015

Journal of Pediatric Surgery

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“…It causes thirst, hunger, irritability, resentment and distress, and might lead to hypovolaemia and dehydration. This is the case especially with children 5,6 . By avoiding prolonged preoperative fasting, dehydration, 7,8 as well as unnecessary changes in blood pressure during the surgery can be prevented 9 …”

Section: Introductionmentioning

confidence: 99%

“…This is the case especially with children. 5,6 By avoiding prolonged preoperative fasting, dehydration, 7,8 as well as unnecessary changes in blood pressure during the surgery can be prevented. 9 Traditionally, it has been recommended that patients, including children, should fast from 8 to 12 h before surgery to minimize the volume of gastric contents, acidity and the risk of aspiration and pneumonia.…”

Section: Introductionmentioning

confidence: 99%

Fasting in paediatric ambulatory surgery

Klemetti

Suominen

2008

Int J of Nursing Practice

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The purpose of this descriptive study was to examine how preoperative fasting and postoperative termination of the fast was experienced in ambulatory surgery by child patients and their mothers. The target group consisted of children (n = 12, age 2-10 years) who had undergone tonsillectomy/adenoidectomy, and their mothers. In the interviews, the mothers were asked to describe the problems connected with their child's preoperative fast and postoperative termination of the fast, as well as the things that went well in the process. Content analysis was carried out inductively. Preoperatively, the children were thirsty and anxious, but understood the fasting situation well. In some cases, there were conflicts between the child and his/her parent if fasting was prolonged. Parents also had doubts about their ability to implement the child's fast. Postoperatively, children had pains in their throats and stomachs, suffered from nausea, and had difficulty taking in nutrition and medication. Parents had worries about their child's home care, such as food intake and administration of pain medication. The possibility of postoperative bleeding and exacerbation of the child's condition was also worrying for the parents. The most evident result of the study was that parents need more information before their child's operation. Preparing the child for the operation by giving him/her nutrition as long as permitted enhances postoperative recovery and improves parents' control over the ambulatory surgical experience. Nurses should take a more active part in children's perioperative fasting and preoperative preparation of children and their parents. In further research, experimental studies should be designed in order to receive more evidence-based information for clinical practice.

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Prolonged starvation in paediatric surgery

Cited by 14 publications

References 10 publications

Attitudes of Mexican anesthesiologists to indicate preoperative fasting periods: A cross-sectional survey

Attitudes of Mexican anesthesiologists to indicate preoperative fasting periods: A cross-sectional survey

Threat perception, anxiety and noncompliance with preoperative fasting instructions among mothers of children attending elective same day surgery

Fasting in paediatric ambulatory surgery

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