Preoperative fasting times: patients' perspective

Der Anaesthesist
L FurrerC K Hofer

Abstract

In order to improve perioperative subjective quality of care it seems desirable to shorten preoperative fasting times as much as possible within acceptable safety limits. These efforts should result in a measurable reduction of preoperative thirst and hunger as well as in improvements of patient well-being. It is unknown to what extent preoperative patient comfort is limited by thirst and hunger from a patient point of view. The purpose of this study was to determine the impact of a traditional fasting regimen on preoperative patient discomfort. We conducted a survey on preoperative thirst and hunger in 412 adult American Society of Anesthesiologists ASA I and II patients scheduled for minor elective surgery. Of the patients 33% complained of moderate to strong thirst, whereas 19% had moderate to strong hunger, 47% of the participants would have liked to have been able to drink and 72% would have appreciated a light breakfast before surgery. Mean preoperative fasting times were 12.8+/-3.4 h for fluids and 15.5+/-4.4 h for solids. "Thirst" was named by 3.3% and "hunger" by 0.8% of patients as the most important factor for preoperative discomfort but "long wait" (8.5%), "tenseness" (6.5%) and "anxiety" (4.8%) were the most freque...Continue Reading

References

Dec 18, 1987·The American Journal of Medicine·T H Joyce
Oct 1, 1994·British Journal of Anaesthesia·S PhillipsD J Hatch
Jan 1, 1993·British Journal of Anaesthesia·S PhillipsT Davidson
Jan 24, 1996·Nursing Standard·A Chapman
May 1, 1996·Nursing Standard·S K Too
Nov 14, 1998·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·M MadsenV T Nagy
Apr 25, 2000·Journal of Clinical Anesthesia·G S MurphyJ W Szokol
Feb 24, 2001·Der Anaesthesist·M DinkelK Börchers
Jul 18, 2001·Current Opinion in Clinical Nutrition and Metabolic Care·J NygrenO Ljungqvist
Oct 30, 2001·Anesthesia and Analgesia·J HauselO Ljungqvist
May 15, 2002·The American Journal of Nursing·Jeannette T Crenshaw, Elizabeth H Winslow
Sep 17, 2002·The Proceedings of the Nutrition Society·Olle LjungqvistAnders Thorell
Oct 9, 2002·Acta Anaesthesiologica Scandinavica·K Holte, H Kehlet
Jan 4, 2003·European Journal of Anaesthesiology·C K HoferR Klaghofer
Jan 10, 2003·Nursing Standard·Antonia Dean, Tonks Fawcett
Apr 4, 2003·The British Journal of Surgery·O Ljungqvist, E Søreide
Oct 30, 2003·The Cochrane Database of Systematic Reviews·M BradyP Stuart
Mar 3, 2004·Der Anaesthesist·C D SpiesUNKNOWN Klinik für Anästhesiologie und operative Intensivmedizin, Charité-Universitätsmedizin Berlin

❮ Previous
Next ❯

Citations

Aug 22, 2008·Digestive Diseases and Sciences·Thomas Werner SpahnMichael Karl Mueller
Jun 18, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·E S DebusT Kerner
Jul 9, 2010·Best Practice & Research. Clinical Anaesthesiology·Daniel Chappell, Matthias Jacob
Apr 15, 2011·Paediatric Anaesthesia·Thomas EngelhardtAchim Schmitz
Feb 14, 2016·British Journal of Anaesthesia·M J JacksonUNKNOWN NWRAG Peri-Op Diabetes Audit Group
Jul 29, 2016·British Journal of Nursing : BJN·Mohammed Abdullah Al Maqbali
Jul 21, 2010·Journal of Perioperative Practice·Saleem KhoyrattyDuraisamy Ravichandran

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.