Nil by mouth after midnight?

Dunnet, J.M.; Zorab, John

doi:10.1111/j.1365-2044.1992.tb02376.x

Cited by 5 publications

(3 citation statements)

References 5 publications

(2 reference statements)

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“…'Nothing per os' after midnight was the standard protocol for all patients until the 1990s. 14,15 In 1987, the Canadian Anaesthetists' Society was the first body to publish recommendations for preoperative fasting. 16 Various anaesthesia societies have since formulated their own guidelines, all sharing the basic idea of solid foods being withdrawn 5e6 h, and clear liquids allowed until 1e3 h, before surgery.…”

Section: Discussionmentioning

confidence: 99%

Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia

Tudor-Drobjewski

Marhofer

Kimberger

et al. 2018

British Journal of Anaesthesia

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Section: Discussionmentioning

confidence: 99%

Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia

Tudor-Drobjewski

Marhofer

Kimberger

et al. 2018

British Journal of Anaesthesia

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“…Pre‐operative fasting has been a matter of some controversy ever since James Simpson, in 1842, blamed aspiration of brandy for the first death under a chloroform anaesthetic [1]. Whilst aspiration has been long established as an important cause of morbidity and mortality [2], the origins of prolonged pre‐operative fasting remain unclear [3]. More recently a number of groups have shown that patients may be fasted for as little as 2 h for clear fluids and 6 h for solids including milk, with no adverse effect on gastric contents [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Pre-operative fasting and administration of regular medications in adult patients presenting for elective surgery. Has the new evidence changed practice?

Pearse

Rajakulendran

1999

Eur J Anaesthesiol

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Several studies have demonstrated that pre-operative fasting may be as short as 2 h for clear fluids and 6 h for solids with no adverse effect on volume or pH of gastric contents. Other studies suggest that many patients do not receive pre-operative prescribed medications. One hundred and fifty-three adults presenting for elective surgery (mean age 51 years) were studied to assess fasting practice. Fasting times far in excess of the recommended safe minimum were found. Mean length of fast for solids was 15 h 24 min (95% confidence intervals +/- 49 min) and for fluids 12 h 30 min (95% confidence intervals +/- 30 min). Of the 53 patients taking regular medications, 23 did not receive one or more drugs pre-operatively; most notably 45% of cardiac prescriptions were not administered. Despite strong evidence to support a change, actual practice continues to fall below accepted standards.

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“…Whilst aspiration has been long ications in the peri-operative period [12]. The omission established as an important cause of morbidity and of cardiac medicines is of particular concern, as mortality [2], the origins of prolonged pre-operative evidence suggests that omission of such medicines fasting remain unclear [3]. More recently a number of will increase the risk of peri-operative myocardial groups have shown that patients may be fasted for as ischaemia [13,14].…”

Section: Introductionmentioning

confidence: 99%

Pre-operative fasting and administration of regular medications in adult patients presenting for elective surgery. Has the new evidence changed practice?

Pearse¹,

Rajakulendran²

1999

European Journal of Anaesthesiology

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length of fast for solids was 15 h 24 min (95% confidence intervals±49 min) and for fluids 12 h 30 min Several studies have demonstrated that pre-operative (95% confidence intervals±30 min). Of the 53 patients fasting may be as short as 2 h for clear fluids and 6 h taking regular medications, 23 did not receive one for solids with no adverse effect on volume or pH of or more drugs pre-operatively; most notably 45% of gastric contents. Other studies suggest that many cardiac prescriptions were not administered. Despite patients do not receive pre-operative prescribed medstrong evidence to support a change, actual practice ications. One hundred and fifty-three adults presenting continues to fall below accepted standards. for elective surgery (mean age 51 years) were studied to assess fasting practice. Fasting times far in excess Keywords: pre-operative, starvation, fasting, prescribing. of the recommended safe minimum were found. Mean

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Nil by mouth after midnight?

Cited by 5 publications

References 5 publications

Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia

Randomised controlled trial comparing preoperative carbohydrate loading with standard fasting in paediatric anaesthesia

Pre-operative fasting and administration of regular medications in adult patients presenting for elective surgery. Has the new evidence changed practice?

Pre-operative fasting and administration of regular medications in adult patients presenting for elective surgery. Has the new evidence changed practice?

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