The effect of preoperative fasting on postoperative pain, nausea and vomiting in pediatric ambulatory tonsillectomy

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

doi:10.1016/j.ijporl.2008.10.014

Cited by 35 publications

(33 citation statements)

References 42 publications

(74 reference statements)

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“…Similar finding were reported by Klemetti et al (34). In the mentioned study the intervention group that experienced shorter fasting time period than control group members experienced more severe pain (P = 0.0002) (34).…”

Section: Discussionsupporting

confidence: 93%

“…As in Klemetti’s survey (34), in our study there were significant differences in pain, but no significant difference in postoperative nausea and vomiting. Considering nausea severity in various postoperative occasions, there was a significantly lower nausea in intervention group, only in recovery time.…”

Section: Discussionsupporting

confidence: 76%

“…This study stated that shorter preoperative fasting time plus suitable and controlled feeding in patients has a significant decreasing effect on postoperative pain, and this intervention could increase patients’, particularly children’s resistance to postoperative nausea and vomiting (34). …”

Section: Discussionmentioning

confidence: 99%

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Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

et al. 2013

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Background:Adenotonsillectomy is a common otolaryngology surgery. Nausea and vomiting are the most common complications of this procedure with a prevalence ranging from 49% to 73 %.Objectives:Our aim was to evaluate the effects of short time fasting protocol on decreasing postoperative pain, nausea and vomiting, and initiation of oral feeding after adenotonsillectomy.Patients and Methods:120 children aged 4 to 14 years candidates for adenotonsillectomy were randomly divided into intervention and control groups (n = 120, 60 in each group). Each patient of the intervention group was given oral dextrose 10% as much volume as he could consume at 3 and 6 hours prior to the operation. All the data including pain severity, nausea and vomiting of the patients, the time of oral feeding initiation etc. were gathered in checklists after the operation. Statistical analyses were then performed using Statistical Package for the Social Sciences (SPSS) software version 16. Descriptive statistical methods and mean difference test for independent groups and chi square test or Fisher exact test, and if regression needed model test were applied. A P value of 0.05 or less was considered statistically significant.Results:The amount of Acetaminophen administered for the intervention group was significantly lower than the control group, and also the time of oral feeding initiation was significantly shorter in the intervention group than the control group (P < 0.005). Pain severity at all occasions following surgery was significantly lower in the intervention group than the control group (P < 0.001). Although frequency of nausea at recovery time was significantly lower in the intervention group than the control group (P < 0.002), there were no significant differences in frequency of nausea between the two groups at other postoperative occasions. Postoperative vomiting frequency was not significant between the two groups at any occasions.Conclusions:The findings of this survey showed that shortening the duration of pre-adenotonsillectomy fasting period and hydration of patients several hours prior to the operation might be effective in decreasing postoperative pain and facilitating postoperative oral feeding initiation. Nevertheless this method does not seem to prevent postoperative nausea and vomiting.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 76%

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Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

et al. 2013

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“…4 5 Parents have ranked POV as the least desirable side effect for their child. 6 Risk factors for PONV in adults include female sex, non-smoking status, history of PONV/motion sickness, volatile anaesthetics and opioids, longer duration of surgery and type of operation. 7 In children, the risk factors are slightly different.…”

Section: Introductionmentioning

confidence: 99%

Perioperative Acupuncture and Postoperative Acupressure Can Prevent Postoperative Vomiting following Paediatric Tonsillectomy Or Adenoidectomy: A Pragmatic Randomised Controlled Trial

Liodden

Howley²,

Grimsgaard

et al. 2011

Acupunct Med

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Objective To investigate the effectiveness of acupuncture and acupressure as supplements to standard treatment for postoperative vomiting in children undergoing tonsillectomy and/or adenoidectomy. Methods A pragmatic, open, block-randomised controlled trial. The results were analysed according to the intention-to-treat principle. The study was conducted without extra resources in a normal setting at the day-surgery department of Lovisenberg Diakonale Hospital in Oslo. 154 children with an American Society of Anesthesiologists grade 1-2, weighing at least 10 kg, were included. Children with concomitant gastrointestinal diseases, emesis or antiemetic treatment <24 h preoperatively, rash or local infection over the actual acupuncture points were excluded together with patients whose parents' informed consent could not be obtained. The intervention group received acupuncture at pericardium 6 bilaterally, at a depth of approximately 0.7 cm with a median of 21 min during anaesthesia, followed by acupressure wristbands for 24 h and standard treatment. The control group received standard treatment. The primary end point was the occurrence of vomiting or retching during 24 h postoperatively. Results Children in the acustimulation group experienced less retching and vomiting than the control group-46.8% versus 66.2% (p=0.015). The effect of acustimulation was specifi cally pronounced in girls and children aged 1-3 years. Conclusion This trial indicates the effectiveness of acustimulation as an adjunct to standard treatment. The results should encourage and promote the implementation of acustimulation for postoperative vomiting in children undergoing adenoidectomy or tonsillectomy.

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“…It has been proven that preparing a child for T&A surgery by giving him/her normal nutrition as long as permitted enhances postoperative recovery and improves the parents' control over the surgical experience and the child's pain [2,3]. Decreased sensation of nausea and better parental satisfaction was noted at 12 h after surgery in children in whom non-restricted quantity of food and drink was allowed [4].…”

Section: Introductionmentioning

confidence: 99%

Do diet and activity restrictions influence recovery after adenoidectomy and partial tonsillectomy?

Zagólski

2010

International Journal of Pediatric Otorhinolaryngology

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The effect of preoperative fasting on postoperative pain, nausea and vomiting in pediatric ambulatory tonsillectomy

Cited by 35 publications

References 42 publications

Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

Is Fasting Duration Time Important in Post Adenotonsillectomy Feeding Time?

Perioperative Acupuncture and Postoperative Acupressure Can Prevent Postoperative Vomiting following Paediatric Tonsillectomy Or Adenoidectomy: A Pragmatic Randomised Controlled Trial

Do diet and activity restrictions influence recovery after adenoidectomy and partial tonsillectomy?

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