Investigation of Preoperative Fasting Times in Children

Dolgun, Eda; Yavuz, Meryem; Eroğlu, Birsen; İslamoğlu, Ayşe

doi:10.1016/j.jopan.2014.12.005

Cited by 25 publications

(44 citation statements)

References 11 publications

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“…Children undergoing an elective procedure under general anesthesia are required to fast to avoid the presence of solid gastric contents and lower the risks of regurgitation and pulmonary aspiration. A prolonged fasting time for clear fluids can have adverse effects, such as hunger, discomfort, headache, dehydration, hypovolemia, and hypoglycemia, and as a result, some pediatric hospitals have engaged in projects to reduce their preoperative fasting times for clear liquids . Dehydration and hypovolemia can increase the difficulty of establishing vascular access, though this association has not been clearly established in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…A prolonged fasting time for clear fluids can have adverse effects, such as hunger, discomfort, headache, dehydration, hypovolemia, and hypoglycemia, and as a result, some pediatric hospitals have engaged in projects to reduce their preoperative fasting times for clear liquids. [5][6][7][8] Dehydration and hypovolemia can increase the difficulty of establishing vascular access, though this association has not been clearly established in the literature. Furthermore, there is mounting evidence suggesting that reducing the clear liquid fasting time beyond the current 2-hour minimum currently recommended by the European Society of Anaesthesiology and the American Society of Anesthesiologists may be beneficial.…”

Section: Introductionmentioning

confidence: 99%

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Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

Gálvez

Simpao

et al. 2019

Pediatric Anesthesia

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Background Children routinely undergo inhalational induction of general anesthesia. Intravenous line placement typically occurs after induction of anesthesia and can be challenging, particularly in infants and young children. Aims We conducted a retrospective observational study to determine whether there was an association between clear liquid fasting time and the number of peripheral intravenous catheter insertion attempts in anesthetized children. The secondary aim was to identify factors associated with multiple attempts to insert intravenous lines. Methods After institutional research board approval, we retrieved a data set of all children between 0 months and 18 years who received general anesthesia at our hospital between January 1, 2016, and September 30, 2017. Data included age, gender, weight, race, ASA status, gestational age, number of peripheral intravenous catheter insertion attempts, any assistive device for insertion, and insertion site. Inclusion criteria were mask induction, ASA status 1 or 2, nonemergency, ambulatory surgical procedures, and placement of a single intravenous line during the anesthetic. Results A total of 9693 patients were included in the study. Of which 8869 patients required one insertion attempt and 824 underwent multiple insertion attempts. 50% of patients in the single insertion attempt group had clear liquid fasting time <6.9 hours compared to 51.8% of patients requiring multiple attempts. Logistic regression model adjusted for age, ASA status, gender, and BMI did not find an association between duration of clear liquid fasting time and rate of multiple insertion attempts for intravenous catheters (OR: 0.99, 95% CI: 0.98‐1.01, P = .47). Conclusion Clear liquid fasting time was not associated with multiple insertion attempts for intravenous line insertion in children receiving general anesthesia. Factors such as patient age, ethnicity, time of day of induction of anesthesia, and American Society of Anesthesiologists Physical Status classification show a greater association with the risk of multiple intravenous line insertion attempts.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

Gálvez

Simpao

et al. 2019

Pediatric Anesthesia

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“…It has proved difficult to take full advantage of the 2-h fasting rule. In pediatric studies of actual preoperative fasting times, the 2-h regimen for clear fluids led to as much as 21 h of fluid-fasting [5][6][7][8]9 & ,10 && ]. It seems to be exceedingly difficult to keep a large proportion of children from fasting less than 6 h, as long as the 2-h limit is strictly implemented.…”

Section: Compliance To Fasting Regimensmentioning

confidence: 99%

Preoperative fasting guidelines in pediatric anesthesia

Andersson

Schmitz

Frykholm

2018

Current Opinion in Anaesthesiology

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“…Ameliyat öncesi dönemde; ağız kuruluğu, nefes kokması, yorgunluk, huzursuzluk, sinirlilik, anksiyete ve baş ağrısı görülebilir. Ameliyat sonrası dönemde ise; bulantı, kusma, dehidratasyon, elektrolit dengesizliği, hipovolemi ve hipoglisemi gibi komplikasyonlar gelişebilir [3][4][5][6][7].…”

Section: Introductionunclassified

“…Karbonhidrat içeren berrak sıvıların oral yoldan alımı, cerrahi sırasında hastanın katabolik bir durum yerine anabolik duruma geçmesini ve glikojen depolarının dolmasını sağlamaktadır. Geleneksel olarak uygulanan ameliyat öncesi uzun açlık süresi sonuçları artık sorgulanmaktadır [1,[3][4][5][6]8,9]. Son yıllarda ameliyat öncesi uzun açlık süresi nedeniyle ortaya çıkan olumsuz metabolik ve psikolojik değişikliklerin önlenebilmesi için rehberler yayınlanmaktadır.…”

Section: Introductionunclassified

Preoperative fasting: A systematic review

Gök¹

2018

Pau Med J

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Bu derlemenin amacı, ameliyat öncesi aç kalma ile ilgili randomize kontrollü çalışmaları değerlendirmektir. Gereç ve Yöntem: Ameliyat öncesi aç kalma ile ilgili randomize kontrollü çalışmalar incelendi. Bu literatur incelemesi bilgisayar ortamında "Pubmed", "EBSCO", "Med-LINE" ve "SCOPUS", veritabanları kullanılarak yapıldı. Ameliyat öncesi aç kalma ile ilgili randomize kontrolllü 11 (on bir) makale bulundu. Bu 11 (on bir) çalışma kronolojik sıraya göre, amaç, örneklem, yöntem, bulgular, tartışma ve sonuçları içeren bir düzen içerisinde verildi. Bulgular: Ameliyat öncesi aç kalma ile ilgili 11 (on bir) çalışma, ameliyat öncesi hastaların gece yarısından sonra tamamen aç kalmaları, ameliyat öncesi aç kalma sürelerinin kısaltılması ve bu sürede verilen farklı içerikte, aynı hacimdeki sıvıların, ameliyattan sonraki süreç (kan şekeri, insülin düzeyi, albümin düzeyi ve hastanede kalış sürelerini vb) üzerine etkileri ile ilgili sonuçları içermektedir. Literatürde ameliyat öncesi uzun süreli açlığın, bir çok metabolik değişikliklerin ortaya çıkmasına neden olduğu, hastaların stresini arttırdığı, uyumunu bozduğu, hastanede kalış süresini arttırdığı ve hastaların konforunu azalttığı belirtilmektedir. Ameliyat öncesi açlık süresinin kısaltılmasının gastrointestinal sistem fonksiyonları üzerine olumsuz etkisi belirlenmiştir. Sonuç: Geleneksel olarak uygulanan gece boyu açlık ve sonuçları artık sorgulanmaktadır. Bu konuyla ilgili özellikle değişen koşulların değerlendirilmesi için daha geniş örneklemler üzerinde ileri çalışmalara ihtiyaç olduğu düşünülmektedir.

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Investigation of Preoperative Fasting Times in Children

Cited by 25 publications

References 11 publications

Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

Duration of preoperative clear fluid fasting and peripheral intravenous catheterization in children: A single‐center observational cohort study of 9693 patients

Preoperative fasting guidelines in pediatric anesthesia

Preoperative fasting: A systematic review

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