What question did this study set out to answer?

This guideline aims to summarize evidence on perioperative fasting practices in adults and children to enhance patient recovery.

June 29, 2011European Journal of Anaesthesiology

Perioperative fasting in adults and children

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Why the study?

What are the optimal perioperative fasting times for adults and children undergoing elective surgery?

Population

Adults and children undergoing elective surgery

Design

Systematic_review

Authors

ISIan SmithUniversity of Cincinnati PKPeter KrankeUniversité Claude Bernard Lyon 1 IMI. MuratUniversité Paris-Sud

Discussion

Member takes

Implication

Supports updating fasting guidelines to minimize perioperative discomfort; confirms safety of liberalized protocols in elective adult and pediatric surgery.

Key Points

This guideline aims to summarize evidence on perioperative fasting practices in adults and children to enhance patient recovery.
Conducted a systematic search of trials from 1950 to 2009 regarding preoperative fasting and oral intake.
Identified key recommendations based on evidence classification and quality assessment.
Utilized the Scottish Intercollegiate Guidelines Network scoring system to evaluate guidelines.
Adults and children should consume clear fluids up to 2 hours before surgery.
Solid food is prohibited for 6 hours prior to surgery, but chewing gum or sucking sweets is acceptable.
H2-receptor antagonists should be administered before elective caesarean sections, and infants can have breast milk up to 4 hours before surgery.

Structured PICO

What are the optimal perioperative fasting times for adults and children undergoing elective surgery?

Population

Adults and children undergoing elective surgery

Intervention

Perioperative fasting, early resumption of oral intake, and oral carbohydrate mixtures

Outcome

Gastric emptying and postoperative recovery

This guideline establishes that clear fluids are safe up to 2 hours and solid foods up to 6 hours before elective surgery in adults and children.

Cite This Study

Smith et al. (2011) studied this question.

synapsesocial.com/papers/69c6a331c902c7a1d7f1065e https://doi.org/10.1097/eja.0b013e3283495ba1

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Implication

Supports updating fasting guidelines to minimize perioperative discomfort; confirms safety of liberalized protocols in elective adult and pediatric surgery.

Perioperative fasting in adults and children

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Perioperative fasting in adults and children

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider