[Reduced preoperative fasting periods. Current status after a survey of patients and colleagues].

Der Anaesthesist
J-P BreuerC Spies

Abstract

Since October 2004 German Anaesthesiology Societies have officially recommended a decreased fasting period of 2 h for clear fluids and 6 h for solid food before elective surgery. A survey of patients and health care workers was carried out in our university clinic to assess the implementation of the new fasting recommendations. Surgical patients (n=865) as well as physicians and nurses specialized in anaesthesia and surgery (n=2,355) were invited to complete a written questionnaire. The survey inquired about prescribed and practiced duration of fasting, attitudes towards reduced preoperative fasting and knowledge of the new guidelines. Data from 784 patients (91%) and 557 health care workers (24%) were analysed. Patients reported mean fasting times of 10+/-5 h for fluids and 15+/-4 h for solid food. Of the patients 52% and 16% would have preferred to drink and eat before surgery, respectively and 10% were informed about the new recommendations of shorter preoperative fluid and solid fasting. Such patients reported significantly reduced fasting times for fluids compared with those who were recommended to fast for the traditional longer periods (8+/-6 versus 12+/-4 h, p<0.001). Preoperative fasting advice remembered by the patien...Continue Reading

References

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Citations

Sep 1, 2012·Implementation Science : IS·Jo Rycroft-MaloneLeo Strunin
Dec 3, 2014·Revista española de anestesiología y reanimación·A C López MuñozJ Tomás Braulio
Nov 1, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J KramerY A Zausig
May 11, 2017·International Scholarly Research Notices·George NjorogeSamuel Kimani
May 29, 2015·Journal of Perioperative Practice·Panaglotis G KyrtatosTalat Mumtaz
Jan 25, 2020·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Canping LiShuangping Zhu
Aug 19, 2021·Journal of Perianesthesia Nursing : Official Journal of the American Society of PeriAnesthesia Nurses·Youwei LiDan Li

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