دورية أكاديمية

Preoperative fasting times in elective surgical patients at a referral Hospital in Botswana.

التفاصيل البيبلوغرافية
العنوان: Preoperative fasting times in elective surgical patients at a referral Hospital in Botswana.
المؤلفون: Abebe WA; University of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana., Rukewe A; University of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana., Bekele NA; University of Botswana, University of Botswana, Department of Anesthesia & Critical Care, Gaborone, Botswana., Stoffel M; University of Botswana, Department of Statistics, Botswana., Dichabeng MN; University of Botswana, Department of Emergency Medicine, Gaborone, Botswana., Shifa JZ; University of Botswana, Department of Surgery, Gaborone, Botswana.
المصدر: The Pan African medical journal [Pan Afr Med J] 2016 Mar 16; Vol. 23, pp. 102. Date of Electronic Publication: 2016 Mar 16 (Print Publication: 2016).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: African Field Epidemiology Network Country of Publication: Uganda NLM ID: 101517926 Publication Model: eCollection Cited Medium: Internet ISSN: 1937-8688 (Electronic) NLM ISO Abbreviation: Pan Afr Med J Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kampala, Uganda : African Field Epidemiology Network
مواضيع طبية MeSH: Practice Guidelines as Topic*, Elective Surgical Procedures/*methods , Fasting/*physiology , Preoperative Care/*methods, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia/adverse effects ; Botswana ; Child ; Child, Preschool ; Cross-Sectional Studies ; Female ; Humans ; Male ; Middle Aged ; Preoperative Period ; Surveys and Questionnaires ; Time Factors ; Young Adult
مستخلص: Introduction: Adults and children are required to fast before anaesthesia to reduce the risk of regurgitation and aspiration of gastric contents. However, prolonged periods of fasting are unnecessary and may cause complications. This study was conducted to evaluate preoperative fasting period in our centre and compare it with the ASA recommendations and factors that influence fasting periods.
Methods: This is a cross-sectional study of preoperative fasting times among elective surgical patients. A total numbers of 260 patients were interviewed as they arrived at the reception area of operating theatre using questionnaire.
Results: Majority of patients (98.1%) were instructed to fast from midnight. Fifteen patients (5.8%) reported that they were told the importance of preoperative fasting. The mean fasting period were 15.9±2.5 h (range 12.0-25.3 h) for solids and 15.3±2.3 h (range 12.0-22.0 h) for liquids. The mean duration of fasting was significantly longer for patients operated after midday compared to those operated before midday, p<0.001.
Conclusion: The mean fasting periods were 7.65 times longer for clear liquid and 2.5 times for solids than the ASA guidelines. It is imperative that the Hospital should establish Preoperative fasting policies and teach the staff who should ensure compliance with guidelines.
References: JPEN J Parenter Enteral Nutr. 2005 Jul-Aug;29(4):298-304. (PMID: 15961687)
Anesthesiology. 1990 Apr;72(4):589-92. (PMID: 2181890)
Eur J Clin Nutr. 2001 Sep;55(9):769-72. (PMID: 11528491)
J Perioper Pract. 2011 Aug;21(8):284-6. (PMID: 22029210)
J Laparoendosc Adv Surg Tech A. 2008 Feb;18(1):1-4. (PMID: 18266566)
Anesth Analg. 2002 Dec;95(6):1572-6, table of contents. (PMID: 12456418)
Nutrition. 1997 Nov-Dec;13(11-12):945-51. (PMID: 9433709)
J Perioper Pract. 2013 Jan-Feb;23(1-2):11-6. (PMID: 23413526)
Clin Nutr. 2003 Feb;22(1):31-8. (PMID: 12553947)
World J Surg. 2014 Sep;38(9):2200-4. (PMID: 24748347)
Updates Surg. 2014 Mar;66(1):31-9. (PMID: 24346767)
Ir J Med Sci. 2012 Mar;181(1):99-104. (PMID: 21959951)
AORN J. 2007 Oct;86(4):609-17. (PMID: 17931540)
AANA J. 2000 Aug;68(4):321-8. (PMID: 11125604)
J Perioper Pract. 2010 Mar;20(3):100-2. (PMID: 20642238)
Anesthesiology. 2011 Mar;114(3):495-511. (PMID: 21307770)
Surgery. 2000 Nov;128(5):757-60. (PMID: 11056438)
World J Gastrointest Surg. 2010 Mar 27;2(3):57-60. (PMID: 21160851)
Br J Perioper Nurs. 2005 Sep;15(9):370-4. (PMID: 16178206)
فهرسة مساهمة: Keywords: Preoperative fasting; anaesthesia; elective surgical patient; fasting instructions
تواريخ الأحداث: Date Created: 20160526 Date Completed: 20170210 Latest Revision: 20181113
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4867185
DOI: 10.11604/pamj.2016.23.102.8863
PMID: 27222691
قاعدة البيانات: MEDLINE
الوصف
تدمد:1937-8688
DOI:10.11604/pamj.2016.23.102.8863