Preoperative fasting time assessment in pediatric oncological patients at a Brazilian pediatric oncology reference center

2021 ◽  
Vol 46 ◽  
pp. S705
Author(s):  
C.F. Marçon ◽  
K.J.T. Guedes ◽  
T.L. Almeida ◽  
J.C.M. Silva ◽  
C.H. Nakamura ◽  
...  
Keyword(s):  
Pediatric Oncology ◽  
Preoperative Fasting ◽  
Reference Center ◽  
Oncological Patients ◽  
Fasting Time ◽  
Time Assessment

scholarly journals Preoperative fasting in the department of plastic surgery

2018 ◽  
Vol 7 (4) ◽  
pp. e000161 ◽  
Author(s):  
Andrew Davies ◽  
Wei Sheng Pang ◽  
Timothy Fowler ◽  
Ffion Dewi ◽  
Thomas Wright
Keyword(s):  
Plastic Surgery ◽  
Preoperative Assessment ◽  
Solid Food ◽  
General Anaesthetic ◽  
Preoperative Fasting ◽  
Gastrointestinal Complications ◽  
Fasting Time ◽  
Assessment Sheet ◽  
The Mean ◽  
Clear Information

Preoperative fasting is necessary to reduce the risk of regurgitation of gastric contents and pulmonary aspiration in patients undergoing general anaesthetic and procedural sedation. Excessive fasting is associated with metabolic, cardiovascular and gastrointestinal complications and patient discomfort. We aimed to reduce the fasting time for patients on the plastic surgery trauma list. Adult inpatients awaiting surgery were asked to complete a preoperative assessment sheet. Questions included the length of preoperative fasting, clarity of instructions and wellness scores. Three cycles of data collection were performed over a 12-month period, patients who declined to participate or were unable to consent were excluded. The first cycle revealed the need for significant improvement. Interventions included staff education, patient information sheets, preoperative drinks, greater availability of ward snacks and improved communication between the ward staff and surgical team through our electronic trauma database. The initial audit of 15 patients revealed a mean fasting time of 16.3 hours for fluid (range 10–22) and a mean of 19.3 hours for solid food (range 10–24). The mean wellness score was 6/10 (10 being very well), 67% of patients felt they were given clear information. The final cycle demonstrated clear improvement in all domains. The mean fasting time declined to 5.1 hours for fluid (range 3–10 hours) and 13 hours for solid food (range 7.5–17 hours). The mean wellness score (10=very well) increased from 6 to 8, the mean thirst score declined from 6.1 to 5.1 and 100% patients felt they had been given clear information. Removal of the traditional ‘NBM from midnight’, patient education, a clear fasting routine with preoperative drinks and improved communication between the full multidisciplinary team has led to a reduction in the fasting times on our trauma list.

scholarly journals Actual preoperative fasting time in Brazilian hospitals: the BIGFAST multicenter study

2014 ◽  
pp. 107 ◽  
Author(s):  
Jose Aguilar-Nascimento ◽  
Ana Dias ◽  
Diana Dock-Nascimento ◽  
Maria Correia ◽  
Antonio Campos ◽  
...  
Keyword(s):  
Multicenter Study ◽  
Preoperative Fasting ◽  
Fasting Time

Attempt to shorten preoperative fasting time in Japan

2010 ◽  
Vol 27 ◽  
pp. 22
Author(s):  
K. Tanaka ◽  
N. Kurokouchi ◽  
K. Kawakami ◽  
N. Ando
Keyword(s):  
Preoperative Fasting ◽  
Fasting Time

A “Light Meal” Three Hours Preoperatively Decreases the Incidence of Gastro-Esophageal Reflux in Dogs

2016 ◽  
Vol 52 (6) ◽  
pp. 357-363 ◽  
Author(s):  
Ioannis Savvas ◽  
Dimitrios Raptopoulos ◽  
Timoleon Rallis
Keyword(s):  
Clinical Practice ◽  
Preoperative Fasting ◽  
Esophageal Reflux ◽  
Canned Food ◽  
Daily Rate ◽  
Esophageal Ph ◽  
Fasting Time ◽  
Daily Dose ◽  
Thiopental Sodium ◽  
The Difference

ABSTRACT Emerging evidence from veterinary and medical clinical research shows that reducing preoperative fasting time may reduce the incidence of gastro-esophageal reflux (GER) intraoperatively. In order to evaluate the effect of two different preoperative fasting times on the incidence of GER during general anesthesia, 120 dogs were randomly assigned to two groups: administration of canned food 3 h before premedication (group C3, n = 60) and administration of canned food 10 h before premedication (group C10, n = 60). The animals were premedicated with propionyl-promazine. Anesthesia was induced with thiopental sodium and maintained with halothane. A pH electrode was introduced into the esophagus, and the esophageal pH was constantly monitored. Esophageal pH of less than 4 or greater than 7.5 was taken as an indication of GER. Three of the 60 dogs of group C3 and 12 of the 60 dogs of group C10 experienced a GER episode, the difference being statistically significant (P = .025). Feeding the dog 3 h before anesthesia at a half daily rate reduces significantly the incidence of GER during anesthesia, compared to the administration of the same amount and type of food 10 h before anesthesia. The administration of a half daily dose of an ordinary canine diet may be useful in clinical practice.

scholarly journals Preoperative Fasting Time and Its Association with Hypoglycemia during Anesthesia in Pediatric Patients Undergoing Elective Procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Hussien Endris Assen ◽  
Anissa Mohammed Hassen ◽  
Ananya Abate ◽  
Bikis Liyew
Keyword(s):  
Logistic Regression ◽  
Logistic Regression Model ◽  
Pediatric Patients ◽  
Addis Ababa ◽  
Preoperative Fasting ◽  
Solid Foods ◽  
Glucose Levels ◽  
Specialized Hospital ◽  
Tikur Anbessa Specialized Hospital ◽  
Fasting Time

Background. Preoperative fasting is important to reduce the risk of pulmonary aspiration during anesthesia. The influence of prolonged fasting time on glucose levels during anesthesia in children remains uncertain. Therefore, this study is aimed at assessing preoperative fasting time and its association with hypoglycemia during anesthesia in pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. The research hypothesis of the study is as follows: there is a prolonged preoperative fasting time, and it influences the glucose levels during anesthesia among pediatric patients undergoing elective procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia. Methods. Institutional based cross-sectional study was conducted among 258 pediatric patients who had undergone elective procedures in a tertiary care center. A systematic sampling method was used to select study participants. The data were collected through face-to-face interviews and medical record reviews. Binary logistic regression was used to identify associated factors of hypoglycemia during anesthesia among pediatric patients undergoing elective procedures. All explanatory variables with a p value of ≤0.25 from the bivariable logistic regression model were fitted into the multivariable logistic regression model to control the possible effect of confounders, and finally, the variables which had an independent association with hypoglycemia were identified based on adjusted odds ratio with 95% confidence interval, and a p value less than 0.05 was significant. Results. The mean (standard deviation) fasting hours from breast milk, solid foods, and clear fluids were 7.75 (2.89), 13.25 (3.14), and 12.31 (3.22), respectively. The majority (89.9%, 57.9%, and 100%) of participants had fasted from solid, breast milk, and clear fluids for more than 8, 6, and 4 hours, respectively. More than one-fourth (26.2%) of participants were hypoglycemic immediately after induction. Residence, order of nothing per mouth, source of patient, and duration of fasting from solid foods had a significant association with hypoglycemia during anesthesia in children. Conclusion. Children undergoing elective procedures were exposed to unnecessarily long fasting times which were associated with hypoglycemia during anesthesia.

scholarly journals Abbreviated Perioperative Fasting Management for Elective Fresh Fracture Surgery: Guideline Adherence Analysis

2022 ◽  
Author(s):  
Zhi-jian Sun ◽  
Xu Sun ◽  
Yan Huo ◽  
Meng Mi ◽  
Gui-ling Peng ◽  
...  
Keyword(s):  
Elective Surgery ◽  
Compliance Rate ◽  
Perioperative Period ◽  
Preoperative Fasting ◽  
Oral Nutrition ◽  
Carbohydrate Loading ◽  
Fasting Time ◽  
Clinical Practice Setting ◽  
Preoperative Carbohydrate Loading ◽  
Nutrition Intake

Abstract BackgroundLong-term fasting for elective surgery has been proven unnecessary based on established guidelines. Instead, preoperative carbohydrate loading 2 hours before surgery and recommencing oral nutrition intake as soon as possible after surgery is recommended. This study was performed to analyze the compliance with and effect of abbreviated perioperative fasting management in patients undergoing surgical repair of fresh fractures based on current guidelines.MethodsPatients with fresh fractures were consecutively enrolled from May 2019 to July 2019 at our hospital. A carbohydrate-enriched beverage was recommended up to 2 hours before surgery for all surgical patients except those with contraindications. Postoperatively, oral clear liquids were allowed once the patients had regained full consciousness, and solid food was allowed 1 to 2 hours later according to the patients’ willingness. The perioperative fasting time was recorded and the patients’ subjective comfort with respect to thirst and hunger was assessed using an interview-assisted questionnaire.ResultsIn total, 306 patients were enrolled in this study. The compliance rate of preoperative carbohydrate loading was 71.6%, and 93.5% of patients began ingestion of oral liquids within 2 hours after surgery. The median (interquartile range) preoperative fasting time for liquids and solids was 8 (5.2–12.9) and 19 (15.7–22) hours, respectively. The median postoperative fasting time for liquids and solids was 1 (0.5–1.9) and 2.8 (2.2–3.5) hours, respectively. A total of 70.3% and 74.2% of patients reported no thirst or hunger during the perioperative period. Logistic regression analysis showed that the preoperative fasting time for liquids was an independent risk factor for perioperative hunger. No adverse events such as aspiration pneumonia or gastroesophageal reflux were observed.ConclusionsIn this study of a real clinical practice setting, abbreviated perioperative fasting management was carried out with high compliance in patients with fresh fractures. The preoperative fasting time should be further shortened to further improve patients’ subjective comfort.

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