The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy

Klemetti, Seija; Kinnunen, Ilpo; Suominen, Tarja; Antila, Heikki; Vahlberg, Tero; Grénman, Reidar; Leino‐Kilpi, Helena

doi:10.1111/j.1365-2702.2009.03051.x

Cited by 13 publications

(12 citation statements)

References 40 publications

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“…It was found that the children who had nausea stayed longer in the recovery unit whereas the children who did not have nausea stayed shorter stay in the recovery unit. In the study conducted by Klemetti et al, the frequency and intensity of postoperative nausea and vomiting were not found to be statistically significant between the study group who received nutritional counselling and had a shorter fluid intake time and the control group (33). There was no significant correlation found between the duration of mothers' admission to the recovery unit and agitation and vomiting.…”

Section: Examination Of the Correlation Between Preoperative And Postoperative Conditions Of Childrenmentioning

confidence: 87%

“…The mean last solid food intake times were similar, whereas the mean fluid intake time was 2.69 (2.08), 1.91/14.35 hours in the study group and 12.13 (2.45), 2.95/14.05 hours in the control group. The difference in the frequency and intensity of postoperative nausea and vomiting between the study and control groups was not statistically significant (33). In the study conducted by Jayasinghe et al in 2018 with 404 children who will undergo bone marrow aspiration, children were divided into two groups randomly; one group fasted for more than 3 hours, and the other group fasted 3 hours.…”

Section: Examination Of the Correlation Between Preoperative And Postoperative Conditions Of Childrenmentioning

confidence: 97%

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The effect of preoperative fasting to postoperative agitation, nausea, and vomiting in children with tonsillectomy

Özdemir

Dolgun

2021

Med Sci Discov

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Objective: This study was conducted to investigate the effect of preoperative fasting period on postoperative agitation, nause and vomiting in children with tonsillectomy. Material and Methods: Children (n:123) who have had tonsillectomy between June and December 2017 and their families have taken place in the study. The data were collected by the researchers with a questionnaire. The data were analyzed using the SPSS 18 package program and with descriptive, Mann Whitney U test, Spearman Correlation test. Results: The mean duration of preoperative fasting was 11.03±1.17 hours, the duration of thirst was 10.17±1.00 hours. The mean behavior scores of the children were 1.28±0.27 points, the mean vomiting score of the children was 0.01±0.07 points, 56.9% of the children in the postoperative unit were not experiencing nausea. Between duration of preoperative fasting with agitation and vomiting status in postoperative unit was found to statistically no relationship. According to preoperative fasting time of children, a statistically significant difference was found when children were diagnosed as having or not having symptoms of nausea. Conclusıon: It was found that the children had longer duration of preoperative fasting than the guidelines suggested in the guidelines. It was observed that pre-operative fasting time did not affect postoperative agitation and vomiting, but it affected nausea. Practice Implications: Surgical nurses should emphasize the importance of fasting period to families before surgery and inform families on this issue.

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Section: Examination Of the Correlation Between Preoperative And Postoperative Conditions Of Childrenmentioning

confidence: 87%

Section: Examination Of the Correlation Between Preoperative And Postoperative Conditions Of Childrenmentioning

confidence: 97%

The effect of preoperative fasting to postoperative agitation, nausea, and vomiting in children with tonsillectomy

Özdemir

Dolgun

2021

Med Sci Discov

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“…(10) Adicionalmente, quando incentivadas a ingerir líquidos claros até duas horas antes da cirurgia, a criança apresenta menor intensidade de sede durante 24 horas do pós-operatório. (27) Recentes evidências indicam que é seguro para a criança ingerir líquidos claros até mesmo somente uma hora antes de anestesia geral. (20) Esses resultados nos alertam para a necessidade de mudar a prática de jejum prolongado que é realizada em muitas instituições sem evidências científicas, fundamentada em hábitos e rotinas institucionais.…”

Section: Discussionunclassified

Prevalência e intensidade da sede de crianças no pós-operatório imediato

Riviera¹,

Pierotti²,

Mello³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Identificar a prevalência e intensidade da sede de crianças no pós-operatório imediato e seus fatores associados. Métodos:Estudo transversal e analítico. A amostra consistiu-se de 78 crianças de quatro a doze anos em sala de recuperação anestésica no pós-operatório imediato. A presença de sede, bem como seus atributos e sinais foi identificada por questionamento da pesquisadora e/ou autorrelato da criança e seu cuidador. A intensidade de sede foi mensurada por meio da escala de faces. As variáveis desfecho foram presença e intensidade da sede. A razão de prevalência foi calculada por regressão de Poisson, com variância robusta.Resultados: A prevalência de sede foi de 88,5% sendo que 39,7% referiram sede no pós-operatório e 48,7% desde o pré-operatório. Quanto à intensidade, 20,5% referiram sede forte e 37,2 % sede intensa. Adicionalmente, mais da metade das crianças (59%) a verbalizou de forma espontânea. Os fatores associados à maior intensidade da sede foram: sexo feminino (RP=1,27); queixa espontânea (RP=1,29); referir sensação de boca seca (RP=1,93) e de saliva grossa (RP=1,43); a idade apresentou associação inversa com a intensidade da sede, ou seja, quanto menor a idade, maior a intensidade da sede (beta= -0,053; p=0,01).Conclusão: A sede na criança cirúrgica apresenta elevada prevalência e intensidade. A criança é capaz de identificar os sinais relacionados à sede e a verbaliza espontaneamente. Sexo, queixa espontânea, idade, boca seca e saliva grossa apresentaram associação com a intensidade. Estes resultados sinalizam a necessidade de intervenções intencionais para reduzir a sede da criança na prática clínica.

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“…The parents also graded their children thirst on another similar scale of 0 to 10. 6 Ultrasound examination was performed using a high-frequency (5-10 MHz) ultrasound probe (S-NerveTM; SonoSite Inc) or a curvilinear (2-5 MHz) probe as appropriate, depending on the child weight. Children were scanned in 2 positions: the supine position and the right lateral position (RLP).…”

Section: Methodsmentioning

confidence: 99%

Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours: A Randomized Controlled Trial

Sarhan

Hasaneen

Hasanin

et al. 2022

Anesthesia &Amp; Analgesia

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BACKGROUND: This study aimed to compare the gastric fluid volume (GFV) in children who fasted 1 versus 2 hours using ultrasound, after ingestion of a defined volume of clear fluid. METHODS: Children scheduled for elective surgery were enrolled in this randomized, double-blinded, controlled trial. After receiving 3 mL kg–1 clear fluid, participants were randomized to have a gastric ultrasound after fasting for either 1 hour (1-hour group, n = 116) or 2 hours (2-hour group, n = 111). Our primary outcome was the GFV. Other outcomes included the antral cross-sectional area, frequency of high risk and low risk of aspiration, and qualitative grading for the gastric antrum. RESULTS: Two hundred and twenty-seven children were available for final analysis. The median (Q1–Q3) GFV was higher in the 1-hour group versus the 2-hour group (0.61 [0.41–0.9] mL kg–1 vs 0.32 [0.23–0.47] mL kg–1; P value = .001). None of the study groups had GFV ≥1.5 mL kg–1. The frequency (%) of GFV ≥1.25 mL kg–1 was comparable between both groups (2 [1.7%] vs 0 [0%], P value = .165). However, the frequency of GFV ≥0.8 mL kg–1 was higher in 1-hour group than in 2-hour group (34.5% vs 4.5%), and grade 2 antral grading score was 56.9% in 1-hour group vs 0.9% in 2-hour group (P value <.001). CONCLUSIONS: In healthy children scheduled for elective surgery receiving 3 mL kg–1 clear fluid, the median GFV after 1-hour fasting was double the volume after conventional 2-hour fasting. These findings should be considered whether weighting the risk/benefit of a liberal approach to preoperative fasting versus the risk of pulmonary aspiration.

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The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy

Abstract: Clinical practice should take the child's perioperative fasting into account in a more accurate way in preoperative counselling of the parents.

Cited by 13 publications

References 40 publications

The effect of preoperative fasting to postoperative agitation, nausea, and vomiting in children with tonsillectomy

The effect of preoperative fasting to postoperative agitation, nausea, and vomiting in children with tonsillectomy

Prevalência e intensidade da sede de crianças no pós-operatório imediato

Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours: A Randomized Controlled Trial

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