Current practice of preoperative fasting: A nationwide survey in Japanese anesthesia-teaching hospitals

被引：35
作者：
Shime N. [1 ,2 ]
Ono A. [3 ]
Chihara E. [4 ]
Tanaka Y. [1 ]
机构：
[1] Department of Anesthesiology, Postgraduate School of Medicine, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566
[2] Division of Intensive Care Medicine, Postgraduate School of Medicine, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566
[3] Department of Anesthesiology, Akiru Municipal General Hospital, Kyoto
[4] Department of Anesthesiology, Meiji University of Oriental Medicine, Kyoto
来源：
Journal of Anesthesia | 2005年 / 19卷 / 3期
关键词：
General anesthesia; Japanese practice; Preoperative fasting periods;
D O I：
10.1007/s00540-005-0319-z
中图分类号：
学科分类号：
摘要：
Purpose. We conducted a nationwide survey to investigate the current practice of the preoperative fasting period in Japanese anesthesia-teaching hospitals. Acceptance of the clinical practice guideline published by the American Society of Anesthesiologists (ASA) was also surveyed. Methods. A written type-of questionnaire was mailed to 795 teaching hospitals. Results. The response rate of the questionnaires was 57%. Mo st (>90%) of the respondents had been applying a longer fasting period than the ASA-recommended minimum period specifically in adults; the median duration of fasting was 12-13;h for solids and 6-9h for liquids. Children or infants were allowed a more liberalized fasting period, frequently being permitted an oral intake of clear fluids up to 3h before anesthesia. The incidence of pulmonary aspiration was 1/12500 general anesthesia cases, and application of the ASA guideline appeared not to affect the incidence. Japanese anesthesiologists were still reluctant to depart from their traditional long fasting periods, as most of them could find little benefit in reducing the fasting periods. Conclusion: The long preoperative fasting period is still common practice in Japanese anesthesia-teaching hospitals. A national guideline for a preoperative fasting policy is worth exploring to change the current practice. © JSA 2005.
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页码：187 / 192
页数：5
相关论文
共 17 条
  • [1] Phillips S., Hutchinson S., Davidson T., Preoperative drinking does not affect gastric contents, Br. J. Anaesth., 70, pp. 6-9, (1993)
  • [2] Splinter W.M., Schaefer J.D., Zunder I.H., Clear fluids three hours before surgery do not affect the gastric fluid contents of children, Can. J. Anaesth., 37, pp. 498-501, (1990)
  • [3] Maltby J.R., Lewis P., Martin A., Sutheriand L.R., Gastric fluid volume and pH in elective patients following unrestricted oral fluid until three hours before surgery, Can. J. Anaesth., 38, pp. 425-429, (1991)
  • [4] Hausel J., Nygren J., Lagerkranser M., Hellstrom P.M., Hammarqvist F., Almstrom C., Lindh A., Thorell A., Ljungqvist O., A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients, Anesth. Analg., 93, pp. 1344-1350, (2001)
  • [5] Schreiner M.S., Triebwasser A., Keon T.P., Ingestion of liquids compared with preoperative fasting in pediatric outpatients, Anesthesiology, 72, pp. 593-597, (1990)
  • [6] Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures: A report by the American Society of Anesthesiologist Task Force on Preoperative Fasting, Anesthesiology, 90, pp. 896-905, (1999)
  • [7] Eriksson L.I., Sandin R., Fasting guidelines in different countries, Acta Anaesthesiol. Scand., 40, pp. 971-974, (1996)
  • [8] Engelhardt T., Webster N.R., Pulmonary aspiration of gastric contents in anaesthesia, Br. J. Anaesth., 83, pp. 453-460, (1999)
  • [9] Fasting S., Soreide E., Raeder J.C., Changing preoperative fasting policies: Impact of a national consensus, Acta Anaesthesiol. Scand., 42, pp. 1188-1191, (1998)
  • [10] Green C.R., Pandit S.K., Schork M.A., Preoperative fasting time: Is the traditional policy changing? Results of a national survey, Anesth. Analg., 83, pp. 123-128, (1996)
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