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Preoperative fasting guidelines in pediatric anesthesia: are we ready for a change?


Andersson, Hanna; Schmitz, Achim; Frykholm, Peter (2018). Preoperative fasting guidelines in pediatric anesthesia: are we ready for a change? Current Opinion in Anaesthesiology, 31(3):342-348.

Abstract

PURPOSE OF REVIEW
Study after study shows that prolonged fasting before anesthesia is common in children. Pediatric anesthesiologists around the world are concerned that the current guidelines may be part of the problem. This review focuses on what can be done about it.

RECENT FINDINGS
We discuss new insights into the physiology of gastric emptying of different categories of food and drink. The evidence for negative effects of prolonged fasting occurring in spite of implementation of the current guidelines is examined. We also critically appraise the concept of a strict association between fasting time and the risk of aspiration and discuss recent studies in which children have been allowed clear fluids less than 2 h before anesthesia induction.

SUMMARY
Accumulating evidence indicates that changes of the current guidelines for preoperative fasting should be considered for children undergoing elective procedures.

Abstract

PURPOSE OF REVIEW
Study after study shows that prolonged fasting before anesthesia is common in children. Pediatric anesthesiologists around the world are concerned that the current guidelines may be part of the problem. This review focuses on what can be done about it.

RECENT FINDINGS
We discuss new insights into the physiology of gastric emptying of different categories of food and drink. The evidence for negative effects of prolonged fasting occurring in spite of implementation of the current guidelines is examined. We also critically appraise the concept of a strict association between fasting time and the risk of aspiration and discuss recent studies in which children have been allowed clear fluids less than 2 h before anesthesia induction.

SUMMARY
Accumulating evidence indicates that changes of the current guidelines for preoperative fasting should be considered for children undergoing elective procedures.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Children's Hospital Zurich > Clinic for Surgery
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Anesthesiology and Pain Medicine
Language:English
Date:June 2018
Deposited On:29 Jan 2019 15:56
Last Modified:29 Jul 2020 09:03
Publisher:Lippincott Williams & Wilkins
ISSN:0952-7907
OA Status:Green
Publisher DOI:https://doi.org/10.1097/ACO.0000000000000582
PubMed ID:29443724

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