Preoperative fasting time in children undergoing elective surgical procedures
DOI:
https://doi.org/10.15253/2175-6783.20212261347Keywords:
Fasting; Child; General Surgery; Humanization of Assistance.Abstract
Objective: to verify the preoperative fasting time in children undergoing elective surgical procedures. Methods: cross-sectional study, carried out with information obtained from 20 children’s medical records, submitted to descriptive and inferential statistical analysis. Results: the median fasting time was 8.03 hours. The shortest time recorded was 7 hours and 45 minutes and the longest 17 hours and 30 minutes. School children had the longest pre-anesthetic fasting time. In 16 cases, fasting after midnight was prescribed. There was no statistically significant difference between fasting time and the variables age groups and surgical specialties. No correlation was found between the child’s age and fasting time. Conclusion: the median fasting time was shorter than that found in other studies. The patients fasted for longer intervals than recommended. Fasting time was not related to age group, surgical specialty, and age of the child.
References
American Society of Anesthesiologists (ASA). Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Task Force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology. 2017; 126(3):376-93. doi: https://dx.doi.org/10.1097/ALN.0000000000001452
Carvalho CALB, Carvalho AA, Preza ADOG, Nogueira PLB, Mendes KBV, Dock-Nascimento DB, et al. Benefícios metabólicos e inflamatórios da abreviação do jejum pré-operatório em cirurgia pediátrica. Rev Col Bras Cir. 2020; 47:e20202353. doi: https://doi.org/10.1590/0100-6991e-20202353
Frykholm P, Schindler E, Sümpelmann R, Walker R, Weiss M. Preoperative fasting in children: review of existing guidelines and recent developments. Br J Anaesth. 2018; 120(3):469-74. doi: http://dx.doi.org/10.1016/j.bja.2017.11.080
Andersson H, Schmitz A, Frykholm P. Preoperative fasting guidelines in pediatric anesthesia: are we ready for a change? Curr Opin Anaesthesiol. 2018; 31(3):342-8. doi: https://dx.doi.org/10.1097/ACO.0000000000000582
Thomas M, Morrison C, Newton R, Schindler E. Consensus statement on clear fluids fasting for elective pediatric general anesthesia. Paediatr Anaesth. 2018; 28(5):411-14. doi: https://dx.doi.org/10.1111/pan.13370
Andersson H, Hellström PM, Frykholm P. Introducing the 6-4-0 fasting regimen and the incidence of prolonged preoperative fasting in children. Paediatr Anaesth. 2018; 28(1):46-52. doi: http://dx.doi.org/10.1111/pan.13282
Muhly WT, Stricker PA. Preoperative fasting in children: is there room for improvement? Paediatr Anaesth. 2017; 27(8):791-2. doi: https://dx.doi.org/10.1111/pan.13166
Beck CE, Rudolph D, Mahn C, Etspüler A, Korf M, Lüthke M, et al. Impact of clear fluid fasting on pulmonary aspiration in children undergoing general anesthesia: results of the German prospective multicenter observational (NiKs) study. Paediatr Anaesth. 2020; 30(8):892-99. doi: https://dx.doi.org/10.1111/pan.13948
Carvalho CALB, Carvalho AA, Nogueira PLB, Aguilar-Nascimento JE. Changing paradigms in preoperative fasting: results of a joint effort in pediatric surgery. Arq Bras Cir Dig. 2017; 30(1):7-10. doi: https://doi.org/10.1590/0102-6720201700010003
Aguilar-Nascimento JE, Salomão AB, Waitzberg DL, Dock-Nascimento DB, Correa MITD, Campos ACL, et al. ACERTO guidelines of perioperative nutritional interventions in elective general surgery. Rev Col Bras Cir. 2017; 44(6):633-48. doi: http://dx.doi.org/10.1590/0100-69912017006003
Aguilar-Nascimento JE, Almeida DAL, Dock-Nascimento DB, Correia MI, Campos AC, Portari-Filho PE, et al. Actual preoperative fasting time in Brazilian hospitals: the BIGFAST multicenter study. Ther Clin Risk Manag. 2014; 10:107-12. doi: http://www.dx.doi.org/10.2147/TCRM.S56255
Munnangi S, Boktor SW. Epidemiology of study design. StatPearls [Internet]. 2020 [cited Jan 11, 2021]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470342/?report=classic
American Society of Anesthesiologists (ASA). Physical status classification system [Internet]. 2020 [cited Jan 11, 2021]. Available from: https://www.asahq.org/standards-and-guidelines/asa-physical-status-classification-system
Dolgun E, Yavuz M, Eroğlu B, Islamoğlu A. Investigation of preoperative fasting times in children. J Perianesth Nurs. 2017; 32(2):121-4. doi: http://dx.doi.org/10.1016/j.jopan.2014.12.005
Beck CE, Rudolp D, Becke-Jakob K, Schindler E, Etspüler A, Trapp A, et al. Real fasting times and incidence of pulmonary aspiration in children: results of a German prospective multicenter observational study. Pediatr Anesth. 2019; 29(10):1040-5. doi: https://doi.org/10.1111/pan.13725
Al-Robeye AM, Barnard AN, Bew S. Thirsty work: exploring children’s experiences of preoperative fasting. Paediatr Anaesth. 2020; 30(1):43-9. doi: http://dx.doi.org/10.1111/pan.13759
Conselho Federal de Enfermagem (COFEN). Guia de recomendações para registro de enfermagem no prontuário do paciente e outros documentos de enfermagem [Internet]. 2016 [cited Jan 11, 2021]. Available from: http://biblioteca.cofen.gov.br/guia-de-recomendacoes-para-registro-de-enfermagem-no-prontuario-do-paciente-e-outros-documentos-de-enfermagem/
Linch, GFC, Lima AAA, Souza EN, Nauderer TM, Paz AA, Costa C. An educational intervetion impact on the quality of nursing records. Rev Latino-Am Enfermagem. 2017; 25:e2938. doi: https://doi.org/10.1590/1518-8345.1986.2938
Newton RJG, Stuart GM, Willdridge DJ, Thomas M. Using quality improvement methods to reduce clear fluid fasting times in children on a preoperative ward. Paediatr Anaesth. 2017; 27(8):793-800. doi: https://doi.org/10.1111/pan.13174
Li C, Shao H, Huang S, Zhang T, Su X, Zhu S. Effects of an individualized fasting program on fasting time and comfort in infants and young children during the perioperative period. J Perianesth Nurs. 2020; 35(3):326-30. doi: https://doi.org/10.1016/j.jopan.2019.08.014
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