The role of perioperative chewing gum on gastric fluid volume and gastric pH: a meta-analysis

Ouanes, Jean Pierre P.; Bicket, Mark C.; Togioka, Brandon M.; Tomas, Vicente Garcia; Wu, Christopher L.; Murphy, Jamie D.

doi:10.1016/j.jclinane.2014.07.005

Cited by 29 publications

(27 citation statements)

References 21 publications

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“…In clinical practice, even delays and surgical suspensions by anesthesiologists and surgeons are recorded, when the patient makes use of chewing gum due to fear of increased gastric contents. However, recent meta-analysis has shown that the use of chewing gums does not increase gastric volume and acidity clinically, significant to the point of triggering bronchiaspiration (10) . The chewing gum acts to increase salivary pH and salivary flow through a combination of gustatory and mechanical stimulation of the salivary glands (11) , decreasing dryness of the mouth and the ill effects that this symptom brings.…”

Section: Introductionmentioning

confidence: 99%

Goma de mascar mentolada no manejo da sede pré-operatória: ensaio clínico randomizado

Garcia

Furuya

Conchon

et al. 2019

Rev. Latino-Am. Enfermagem

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Objetivo avaliar a efetividade da goma de mascar mentolada em aliviar a intensidade e o desconforto da sede do paciente cirúrgico no período pré-operatório. Método ensaio clínico controlado randomizado, com 102 pacientes em período pré-operatório, aleatorizados em grupo-controle, com cuidado usual, e grupo experimental, que recebeu goma de mascar mentolada, a variável de tratamento do estudo. O desfecho clínico primário foi a variação da intensidade da sede, avaliada pela Escala Verbal Numérica, e o secundário, a variação do desconforto da sede, avaliada pela Escala de Desconforto da Sede Perioperatória. Teste de Mann-Whitney foi usado para comparar as medidas entre os grupos. Nível de significância adotado de 0,05. Resultados a goma de mascar mentolada reduziu significativamente a intensidade (p<0,001), com d de Cohen de efeito médio, e o desconforto da sede (p<0,001), com d de Cohen de efeito grande. Conclusão a goma de mascar mentolada mostrou-se efetiva na redução da intensidade e do desconforto da sede pré-operatória. A estratégia mostrou-se uma opção inovadora, viável e segura no uso para o paciente cirúrgico, no manejo da sede pré-operatória, em cirurgias eletivas. NCT: 03200197.

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Section: Introductionmentioning

confidence: 99%

Goma de mascar mentolada no manejo da sede pré-operatória: ensaio clínico randomizado

Garcia

Furuya

Conchon

et al. 2019

Rev. Latino-Am. Enfermagem

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“…Further studies are necessary to confirm this hypothesis. Interestingly, recent studies show that chewing gum induces no changes in gastric pH 28,29 and is associated with early recovery of bowel motility and shorter length of hospital stay for women after caesarean section. 30 Regarding the other parameters analysed in saliva, namely salivary flow rate, calcium, phosphate, sodium, potassium, and α-amylase, different results have been reported, and together with our study, no consensus has emerged.…”

Section: ■ Discussionmentioning

confidence: 99%

The biochemistry of saliva throughout pregnancy

Rio¹,

Azevedo²,

Simões-Silva³

et al. 2015

Medical Express

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BACKGROUND & OBJECTIVE:Sialometric and sialochemical analyses during pregnancy are not consistent, and frequently contradictory in terms of salivary flow rate, pH, and concentration of calcium, phosphorous, sodium, potassium, chloride, glucose and α-amylase. We, therefore, measured the evolution of these parameters throughout pregnancy. METHOD: A cross-sectional study compared sialometric and sialochemical analyses of 30 pregnant women vs. 30 age-matched non-pregnant women, and a longitudinal study evaluated the pregnant women in the first and third trimester of pregnancy. RESULTS: Pregnant women presented acidic non-stimulated saliva, but neutral stimulated saliva pH, and no relevant changes in salivary flow rate. Scialochemical analysis showed decreased calcium levels, increased phosphate levels, and a progressive decrease in glucose levels throughout pregnancy. CONCLUSION: Pregnancy significantly changes the oral biochemical milieu, creating a favorable environment for the development of oral pathology, in particular, dental caries.

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“…The researchers observed delays and surgical cancellations during the perioperative period because of a fear of an increase in gastric contents when the patient uses chewing gum. However, a meta‐analysis indicated that chewing gum does not increase the gastric volume or acidity enough to increase the risk of bronchoaspiration . Chewing gum combines gustatory and mechanical stimulation of the salivary glands to increase pH in the mouth and salivary flow .…”

Section: Perioperative Patient Thirstmentioning

confidence: 99%

“…Chewing gum combines gustatory and mechanical stimulation of the salivary glands to increase pH in the mouth and salivary flow . As a result, mouth dryness and secretion of AVP is decreased …”

Section: Perioperative Patient Thirstmentioning

confidence: 99%

Advances in the Management of Perioperative Patients' Thirst

Nascimento¹,

Garcia²,

Conchon³

et al. 2020

AORN Journal

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reviewing the purpose/goal and objectives, and completing the online Examination and Learner Evaluation at http:// www.aornj ournal.org/conte nt/cme. A score of 70% correct on the examination is required for credit. Participants receive feedback on incorrect answers. Each applicant who successfully completes this program can immediately print a certificate of completion. Event: #20505 Session: #0001 Fee: Free for AORN members. For non-member pricing, please visit http://www.aornj ournal.org/conte nt/cme. The contact hours for this article expire February 28, 2023. Nonmember pricing is subject to change. PURPOSE/GOALTo provide the learner with knowledge of best practices related to the management of perioperative thirst. OBJECTIVES 1. Discuss the incidence and etiology of perioperative thirst. 2. Identify key factors related to mitigating perioperative thirst. 3. Describe safety factors affecting the management of perioperative thirst.

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The role of perioperative chewing gum on gastric fluid volume and gastric pH: a meta-analysis

Cited by 29 publications

References 21 publications

Goma de mascar mentolada no manejo da sede pré-operatória: ensaio clínico randomizado

Goma de mascar mentolada no manejo da sede pré-operatória: ensaio clínico randomizado

The biochemistry of saliva throughout pregnancy

Advances in the Management of Perioperative Patients' Thirst

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