Pediatric ambulatory anesthesia: NPO—Before or after surgery?

In the hope of reducing the risk of perioperative aspiration pneumonitis, a period of fasting, often of prolonged duration, became a routine feature of the preoperative preparation of ambulatory surgical patients. The premise is that fasting ensures gastric emptying. Following anesthesia and operati...

Full description

Saved in:
Bibliographic Details
Published in:Journal of Clinical Anesthesia 1995-11, Vol.7 (7), p.589-596
Main Authors: Schreiner, Mark S., Nicolson, Susan C.
Format: Article
Language:English
Subjects:
Adolescent
Ambulatory Surgical Procedures - adverse effects
Anesthesia
Anesthesia, General - adverse effects
aspiration
Child
Child, Preschool
complications
Drinking
Fasting
fluids
Gastric Emptying
Humans
Infant
oral
outpatient, pediatric
Pneumonia, Aspiration - prevention & control
Postoperative Care
Preoperative Care
Vomiting - prevention & control
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:In the hope of reducing the risk of perioperative aspiration pneumonitis, a period of fasting, often of prolonged duration, became a routine feature of the preoperative preparation of ambulatory surgical patients. The premise is that fasting ensures gastric emptying. Following anesthesia and operation, patients frequently have been expected to demonstrate the ability to drink and retain clear liquids prior to hospital discharge. The belief has been that tolerating clear liquids will reduce the likelihood of the patient returning to the hospital with ongoing vomiting that results in dehydration. Recent investigations have raised doubts about both premises and prompted the systematic reappraisal of perioperative feeding practices.
ISSN:0952-8180
1873-4529
DOI:10.1016/0952-8180(95)00135-2