Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6525
Title: Adherence to Preoperative Fasting Guidelines in Elective Surgical Patients
Authors: Sidik, Abubakar I
Lishchuk, Alexandr
Faybushevich, Alexander N
Moomin, Aliu
Akambase, Jonas 
Dontsov, Vladislav
Sobolev, Dmitriy
Ilyas Mohammad Shafii, Abdulmajid
Najneen, Farjana
Ak, Gulten
Ahlam, Derrar
Adam, Maridia K
Baatiema, Linus
Benneh, Charles
Adu-Gyamfi, Paa Kofi T
Agyapong, Frank
Mensah, Kwesi Boadu
Issue Date: 2024
Source: Sidik AI, Lishchuk A, Faybushevich AN, Moomin A, Akambase J, Dontsov V, Sobolev D, Ilyas Mohammad Shafii A, Najneen F, Ak G, Ahlam D, Adam MK, Baatiema L, Benneh C, Adu-Gyamfi PKT, Agyapong F, Mensah KB. Adherence to Preoperative Fasting Guidelines in Elective Surgical Patients. Cureus. 2024 Oct 15;16(10):e71554. doi: 10.7759/cureus.71554. PMID: 39544576; PMCID: PMC11563662.
Journal Title: Cureus
Journal: Cureus
Abstract: Preoperative fasting is recommended by international guidelines as a means to minimize the risk of aspiration of gastric content during induction of anesthesia or surgery. Prolonged preoperative fasting is, however, discouraged due to the associated side effects such as dehydration and electrolyte imbalance, which can negatively impact recovery after surgery. An initial quality improvement study revealed poor implementation of the best practice guidelines on preoperative fasting in three departments of a hospital and an institutional action plan was devised to enforce adherence to these guidelines. This present study aimed to assess compliance with the action plan and for that matter, adherence to international consensus on preoperative fasting in three surgical departments. Adult patients undergoing elective cardiac, thoracic, and vascular surgery at a university teaching hospital were surveyed over four months (September October, November, and December of 2023). Data on the length of preoperative fasting was collected using a standardized questionnaire. A total of 306 patients who were scheduled for elective surgery were included in the study. Of the 306 patients, 139 (45.4%) had vascular surgeries, 108 (35.4%) received cardiac surgeries, and 59 (19.3%) had thoracic surgeries. For clear fluids, the overall median fasting time (Q1, Q3) was 4.5 (2.7, 7.4) hours, and for solid food, 14.5 (12.1, 19.0) hours. Extended abstinence from clear fluids and solid food for more than 12 hours was observed in 43 (14.1%) and 231 (75.5%) instances, respectively, while abstinence from solid food for more than 24 hours was noticed in 40 (13.1%) cases. When compared to patients having operations in the morning, those scheduled for afternoon surgery had longer median fasting periods from clear fluids and solid food, p<0.001: 6.2 (4.0, 12.0) hours vs. 3.4 (2.0, 5.2) hours for clear fluids and 16.7 (12.6, 22.6) hours vs. 13.2 (9.6, 15.2) hours for solid food, respectively. Patients continue to abstain from clear fluids and solid food for extended periods of time, despite the fact that there is worldwide agreement regarding shorter periods of preoperative fasting. Compared to patients undergoing morning surgery, individuals hospitalized for afternoon procedures were more likely to fast for extended periods of time.
Description: Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated author: Jonas Akambase
DOI: 10.7759/cureus.71554
Keywords: am patients;clear fluids;elective surgery;pm patients;preoperative fasting;solid food
Type: Article
Appears in Sites:Cairns & Hinterland HHS Publications

Files in This Item:
File Description SizeFormat 
Adherence to preoperative fasting guidelines in elective surgical patients.pdf1.44 MBAdobe PDFThumbnail
View/Open
Show full item record

Page view(s)

18
checked on Dec 12, 2024

Download(s)

30
checked on Dec 12, 2024

Google ScholarTM

Check

Altmetric


Items in DORA are protected by copyright, with all rights reserved, unless otherwise indicated.