Duration of fluid fasting and choice of analgesic are modifiable factors for early postoperative delirium

Radtke, Frank‐Olaf; Franck, Martin; MacGuill, Martin; Seeling, Matthes; Lütz, Alawi; Westhoff, Sarah; Neumann, Ulf; Wernecke, Klaus D.; Spies, Claudia

doi:10.1097/eja.0b013e3283335cee

Cited by 141 publications

(101 citation statements)

References 21 publications

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“…Like other studies 7,24,28 , delirium patients were older than non-delirium patients. These patients have a reduced physical reserve that can predispose them to higher severity of illness and, therefore, higher incidence of POD.…”

Section: Discussionmentioning

confidence: 58%

“…In this study using ICDSC, considered very sensitive tool for screening of delirium, we found a POD incidence slightly inferior of that found by other authors. [18][19][20][21][22][23][24] . This lower incidence may be explained by the demographic characteristics of the study population with younger patients and a better preoperative status (patients with lower ASA-PS and lower RCRI).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Delirium pós-operatório em pacientes críticos: fatores de risco e resultados

Veiga¹,

Luís²,

Parente³

et al. 2012

Rev. Bras. Anestesiol.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Delirium pós-operatório em pacientes críticos: fatores de risco e resultados

Veiga¹,

Luís²,

Parente³

et al. 2012

Rev. Bras. Anestesiol.

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“…6 Puasa minum preoperatif juga merupakan salah satu faktor yang berpengaruh terhadap kejadian delirium pascaoperasi saat di ruang pemulihan (11%) maupun di bangsal (4,2%) selain pemberian analgesia selama operasi. 3,7 Panduan puasa preoperatif yang diterapkan di berbagai negara diperbolehkan minum clear fluids sampai dengan 2 jam sebelum operasi. Pemberian minuman kaya karbohidrat 2 jam sebelum operasi ternyata tidak meningkatkan volume gaster atau meningkatkan keasaman, tetapi pemberian ini terbatas pada pasien yang tidak memiliki gangguan motilitas usus seperti gastroparesis, obstruktif mekanis, gastroesofageal refluks, dan morbid obese.…”

Section: Pendahuluanunclassified

“…11 Puasa yang terlalu lama dapat merugikan dan dapat memengaruhi kondisi fisik serta psikologi pasien seperti ketidaknyamanan, 13 cemas, nyeri kepala, dehidrasi, mual muntah, hipovolemia, hipoglikemia, 5,6 bahkan delirium pascaoperasi. 7 Selama pasien menjalani puasa preoperatif, dapat terjadi haus, lapar, cemas, mengantuk, dan pusing. 3,15 Puasa preoperatif yang lama meningkatkan jalur katabolik sehingga dapat meningkatkan komplikasi.…”

Section: 2unclassified

Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung

Hartanto¹,

Suwarman²,

Sitanggang³

2016

jap

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AbstrakPuasa preoperatif merupakan keharusan sebelum dilakukan tindakan anestesi. Alasan utamanya adalah untuk mengurangi volume lambung, tingkat keasaman lambung, dan mengurangi risiko aspirasi paru. Namun, puasa preoperatif sering kali lebih lama daripada yang direkomendasikan karena berbagai sebab. Tujuan penelitian ini mengetahui durasi puasa preoperatif pada pasien operasi elektif dan hubungan antara durasi puasa preoperatif dan kadar gula darah sebelum induksi pasien operasi elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional dilakukan selama 1-31 Juni 2014 dengan melakukan wawancara pasien sebelum induksi anestesi dan pengukuran kadar gula darah menggunakan glukometer. Analisis korelasi menggunakan Uji Mann-Whitney. Hasil penelitian pada 371 pasien didapatkan lama puasa dari makanan padat, durasi minimum adalah 4 jam, maksimum 20,5 jam, dan rata-rata 10,42 jam. Pada puasa dari minuman, durasi puasa minimum adalah 2 jam, maksimum 18 jam dengan rata-rata 8,06 jam. Terdapat 8 pasien dengan kadar gula darah kurang dari 70 mg/dL dengan rentang kadar gula darah 59-70 mg/dL dan rentang durasi puasa 6-18 jam. Tiga di antaranya orang lanjut usia di atas 60 tahun. Sebanyak 253 pasien berpuasa makanan padat >8 jam dan 357 pasien berpuasa minuman >2 jam. Simpulan, tidak terdapat hubungan antara durasi puasa dan kadar gula darah sebelum induksi.Kata kunci: Durasi puasa preoperatif, kadar gula darah, operasi elektif Correlation between Preoperative Fasting Duration and Blood Glucose Level before Induction in Elective Surgery Patients in Dr. Hasan Sadikin General Hospital Bandung AbstractPreoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and, thus, decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fast for a prolonged time when the surgery is delayed for different reasons. The aim of this study was to assess the duration of preoperative fasting for elective surgery and its correlation with blood glucose after preoperative fasting in Dr. Hasan Sadikin General Hospital Bandung. An observational study was conducted from 1-31 June 2014. Patients were interviewed before induction, and blood glucose level was measured using a glucometer. A correlation analysis was performed using Mann-whitney test. All 371 elective surgery patients admitted during the study period were included. The minimum, maximum, and mean fasting hours for food were 4, 20.5, and 10.42, respectively. The minimum, maximum, and mean fasting hours for fluid were 2, 18, and 8.06, respectively. Only 8 patients had blood a glucose level below 70 mg/dL with blood glucose levels range from 59 to 70 mg/dL and duration of fasting range from 6 to 18 hours. Three of elderly patients, who was above 60 years old, participated in this study. There were 253 patients (68.2%) fasted from solid food more ...

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“…Breytingar verða á líkamsástandi og umhverfi einstaklingsins við skurðaðgerðir og geta ýmsir útleysandi áhaettu-þaettir, svo sem verkir, truflanir á vökva-og saltbúskap, fasta og gjörgaesludvöl, fylgt í kjölfarið. 1,30 Bráð skurðaðgerð getur haft aukna haettu á óráði í för með sér umfram valaðgerð 19 Þeir einstaklingar sem eru útsettari fyrir óráði vegna hás aldurs, heilabilunar eða annarra undirliggjandi áhaettuþátta þurfa mun minna áreiti til að fá óráð en þeir sem ekki hafa undirliggjandi áhaettuþaetti. 22,27,28 Tafla I. Samanburður einkenna óráðs og heilabilunar.…”

Section: áHaettuþaettir óRáðs Eftir Skurðaðgerðunclassified

Óráð eftir opna hjartaaðgerð: kerfisbundin samantekt á algengi, áhættuþáttum og afleiðingum

Þorsteinsdóttir¹,

Sveinsdóttir²,

Snædal³

2015

LBL

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Duration of fluid fasting and choice of analgesic are modifiable factors for early postoperative delirium

Abstract: Duration of preoperative fluid fasting and the choice of intraoperative analgesic are risk factors for postoperative delirium, and their modification provides a promising approach to reduce the incidence of postoperative delirium.

Cited by 141 publications

References 21 publications

Delirium pós-operatório em pacientes críticos: fatores de risco e resultados

Delirium pós-operatório em pacientes críticos: fatores de risco e resultados

Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung

Óráð eftir opna hjartaaðgerð: kerfisbundin samantekt á algengi, áhættuþáttum og afleiðingum

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