Nulla Per Os (NPO) guidelines: time to revisit?:
Purpose of review
Preoperative fasting guidelines are generalized to elective procedures and usually do not distinguish between the ambulatory and inpatient setting. Prevalence of aspiration is low while prolonged preoperative fasting is common clinical reality. Recently, changes in preoperative fasting guidelines have been widely discussed.
Recent findings
Rates of prolonged clear fluid fasting (>4 h) prior to surgery are reported in up to 80% of patients with mean fasting duration of up to 16 h and beyond. Prolonged fasting may result in adverse effects such as intraoperative hemodynamic instability, postoperative delirium, patient discomfort, and extended hospital length of stay. Liberal approaches allowing clear fluids up to 1 h prior to anesthesia or until premedication/call to the operating room have shown no increase in adverse events among children. Various anesthesia societies now encourage clear fluid intake up to 1 h prior to pediatric elective anesthesia. Similar reports in the adult cohort are scarce.
Summary
Allowing sips of water until call to the operating room may help reducing prolonged preoperative fasting and improving patient comfort while keeping a flexibility in operating room schedule. The feasibility and safety of a liberal clear fluid fasting regimen among adults undergoing elective anesthesia needs to be evaluated in future studies.
Correspondence to Peter Kranke, MD, MBA, Department of Anaesthesia and Critical Care, University Hospital Würzburg, Oberdürrbacher Str. 6, 97080 Würzburg, Germany. Tel: +49 931 201 30050; e-mail: kranke_p@ukw.de
Copyright © 2020 YEAR Wolters Kluwer Health, Inc. All rights reserved.
Αρχειοθήκη ιστολογίου
-
►
2023
(256)
- ► Φεβρουαρίου (140)
- ► Ιανουαρίου (116)
-
►
2022
(1695)
- ► Δεκεμβρίου (78)
- ► Σεπτεμβρίου (142)
- ► Φεβρουαρίου (155)
-
►
2021
(5507)
- ► Δεκεμβρίου (139)
- ► Σεπτεμβρίου (333)
- ► Φεβρουαρίου (628)
-
▼
2020
(1810)
- ► Δεκεμβρίου (544)
-
▼
Οκτωβρίου
(204)
-
▼
Οκτ 14
(89)
- Medicine by Alexandros G. Sfakianakis
- Flow-Induced Transcriptomic Remodeling of Endothel...
- Two Undervalued Functions of the Golgi Apparatus: ...
- Physical Exercise and the Renin Angiotensin System...
- Functional Characterization of Facilitative Glucos...
- Palmitoyl Protein Thioesterase 1 Is Essential for ...
- Remodeling of the Microvasculature
- Effect of Hyperbilirubinemia on Medial Olivocochle...
- Preoperative assessment and optimization of cognit...
- High-risk surgical procedures and semi-emergent su...
- Spinal anesthesia for ambulatory surgery: current ...
- Peripheral nerve blockade and novel analgesic moda...
- Noninvasive, continuous monitoring modalities in p...
- The Bowtie diagram: a simple tool for analysis and...
- Maternal safety: recent advances and implications ...
- Nulla Per Os (NPO) guidelines
- Measuring and monitoring perioperative patient saf...
- Bacteria-derived long chain fatty acid exhibits an...
- Topic Application of the Probiotic Streptococcus d...
- Probiotic effects on sperm parameters, oxidative s...
- Effect of Limosilactobacillus reuteri LRE02-Lactic...
- Reduction of fatigue and anger-hostility by the or...
- Lactobacillus plantarum KSFY06 and geniposide coun...
- Impact of prebiotics on immune response: from the ...
- Weissella cibaria CMU exerts an anti‑inflammatory ...
- Lactiplantibacillus plantarum WJL administration d...
- Significant elevation of salivary human neutrophil...
- Periodontal pathogens promote cancer aggressivity ...
- Development of probiotic orodispersible tablets us...
- Development of probiotic orodispersible tablets us...
- Lactobacillus paracasei KBL382 administration atte...
- Synbiotic Effects of Enzyme and Probiotics on Inte...
- Efficacy of Spore Forming Bacilli Supplementation ...
- Isolation and Characterization of Nitrate-Reducing...
- Modulation of experimental autoimmune encephalomye...
- The potential of Streptococcus salivarius oral fil...
- MRI characterization of focal liver lesions in non...
- False-negative focused abdominal sonography for tr...
- Do we still need breast cancer screening in the er...
- Multimodality imaging features of desmoid tumors: ...
- Ultrasonography in the assessment of anterior knee...
- Sports-related lower limb muscle injuries
- Esophageal emergencies: another important cause of...
- Serum cystatin C: A potential predictor for hospit...
- Idiopathic Subglottic Stenosis
- Encorafenib-metastatic colorectal cancers with BRA...
- Breast Cancer Screening with Digital Breast Tomosy...
- MRI of Skeletal Muscles in Participants with Type ...
- Arterial Spin Labeling MRI in Carotid Stenosis: Ar...
- Nonablative Fractional Lasers (NAFL) on Hypertroph...
- Circular RNA hsa_circ_0003204 promotes cervical ca...
- Apatinib and Camrelizumab in Recurrent or Metastat...
- Programmed Cell Death 2-like (Pdcd2l) Is Required ...
- Vorinostat Plus Sirolimus or Everolimus in Patient...
- Tucatinib for the Treatment of Patients with Advan...
- Bioinformatics tools for identification of long no...
- Circular RNA hsa_circ_0003204 promotes cervical ca...
- Dry Eye Disease Among Patients Using Continuous Po...
- iStent Trabecular Micro-Bypass Stent Implantation ...
- Optical Coherence Tomography Angiography Features ...
- Novel selective agonist of GPR18, PSB‐KK‐1415 exer...
- Erdheim-Chester Disease (ECD) by 18F-FDG PET/CT
- Improved cancer detection in Waldeyer’s tonsillar ...
- Cetacean vertebral trabecular bone
- Loss of 5-Hydroxymethylcytosine is an Epigenetic H...
- pCLIF-SOFA is a reliable outcome prognostication s...
- High doses of tigecycline
- Tigecycline pharmacokinetics in critically ill pat...
- Persistent swallowing disorders after extubation
- Ancient DNA from Guam and the Peopling of the Pacific
- The American Journal of Surgical Pathology - Cur...
- BMC Research Notes
- Gene Expression Patterns<
- European Journal of Surgical Oncology (EJSO)
- bioRxiv Subject Collection: Evolutionary Biology
- American Goiter Association
- Biomedicine & Pharmacotherapy
- Multicentric endocrine mucin-producing sweat
- pubmed: epilepsy treatment
- Oncology
- American Journal of Cancer Research
- bioRxiv Subject Collection: Evolutionary Biology
- TCT Magazine | 3D Printer & 3D Printing News | A...
- Food and Drug Administration--Recalls/Safety Alerts
- Health sciences : nature.com subject feeds
- International Journal of Molecular Sciences
- International Journal of Environmental Research ...
- Antibiotics
- Medicine by Alexandros G. Sfakianakis
-
▼
Οκτ 14
(89)
- ► Σεπτεμβρίου (32)
- ► Φεβρουαρίου (28)
-
►
2019
(7684)
- ► Δεκεμβρίου (18)
- ► Σεπτεμβρίου (53)
- ► Φεβρουαρίου (2841)
- ► Ιανουαρίου (2803)
-
►
2018
(31838)
- ► Δεκεμβρίου (2810)
- ► Σεπτεμβρίου (2870)
- ► Φεβρουαρίου (2420)
- ► Ιανουαρίου (2395)
-
►
2017
(31987)
- ► Δεκεμβρίου (2460)
- ► Σεπτεμβρίου (2605)
- ► Φεβρουαρίου (2785)
- ► Ιανουαρίου (2830)
-
►
2016
(5308)
- ► Δεκεμβρίου (2118)
- ► Σεπτεμβρίου (877)
- ► Φεβρουαρίου (41)
- ► Ιανουαρίου (39)
Αλέξανδρος Γ. Σφακιανάκης
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5
Άγιος Νικόλαος Κρήτη 72100
2841026182
6032607174
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου