PDF(Pubmed)
Abstract：
BACKGROUND: Pre-operative fasting of patients awaiting non-emergency surgeries has been a common practice to minimise the risk of vomiting and aspiration at the time of induction of anaesthesia. Current standard guidelines recommend that this fasting time be limited to two hours for clear fluids and six hours for solids and semi-solids, as prolonged fasting has been shown to be harmful to the patient.
METHODS: A descriptive cross-sectional study of the fasting times of all adult trauma orthopaedic patients who were operated on under anaesthesia between June 1 and 30, 2023. Fifty patients who met the inclusion criteria were included in the study.
RESULTS: The minimum and maximum fasting times observed for solids and semi-solids were 9 and 24 hours, respectively. The mean fasting time for solids and semi-solids was 15.8 hours. The minimum and maximum fasting times observed for clear fluids were 2 and 20 hours, respectively. The mean fasting time for clear fluids was 10.5 hours. Elderly patients accounted for a significant portion of the patients, with 64% (n=32) being above the age of 70 years.
CONCLUSIONS: A significant disparity was noted between the current fasting practices and the recommended standards set out by the Royal College of Nursing, the Association of Anaesthetists of Great Britain and Ireland, the European Society of Anaesthesiology, and the American Society of Anaesthesiologists. The knowledge of pre-operative fasting among the orthopaedic team doctors and the ward nursing staff was found to be inadequate.
METHODS: A descriptive cross-sectional study of the fasting times of all adult trauma orthopaedic patients who were operated on under anaesthesia between June 1 and 30, 2023. Fifty patients who met the inclusion criteria were included in the study.
RESULTS: The minimum and maximum fasting times observed for solids and semi-solids were 9 and 24 hours, respectively. The mean fasting time for solids and semi-solids was 15.8 hours. The minimum and maximum fasting times observed for clear fluids were 2 and 20 hours, respectively. The mean fasting time for clear fluids was 10.5 hours. Elderly patients accounted for a significant portion of the patients, with 64% (n=32) being above the age of 70 years.
CONCLUSIONS: A significant disparity was noted between the current fasting practices and the recommended standards set out by the Royal College of Nursing, the Association of Anaesthetists of Great Britain and Ireland, the European Society of Anaesthesiology, and the American Society of Anaesthesiologists. The knowledge of pre-operative fasting among the orthopaedic team doctors and the ward nursing staff was found to be inadequate.
摘要：
背景：等待非紧急手术的患者的术前禁食是一种常见的做法，以最大程度地降低麻醉诱导时呕吐和误吸的风险。目前的标准指南建议，透明液体的禁食时间限制为2小时，固体和半固体的禁食时间限制为6小时。因为长时间禁食已被证明对患者有害。
方法：对2023年6月1日至30日在麻醉下进行手术的所有成年创伤骨科患者的禁食时间进行描述性横断面研究。50名符合纳入标准的患者被纳入研究。
结果：观察到的固体和半固体的最小和最大禁食时间分别为9和24小时，分别。固体和半固体的平均禁食时间为15.8小时。透明液体观察到的最小和最大禁食时间为2和20小时，分别。透明液体的平均禁食时间为10.5小时。老年患者占很大一部分，64％（n=32）的年龄在70岁以上。
结论：注意到当前的禁食实践与皇家护理学院规定的推荐标准之间存在显着差异，大不列颠和爱尔兰麻醉师协会，欧洲麻醉学学会,和美国麻醉师协会。骨科团队医生和病房护理人员的术前禁食知识不足。
方法：对2023年6月1日至30日在麻醉下进行手术的所有成年创伤骨科患者的禁食时间进行描述性横断面研究。50名符合纳入标准的患者被纳入研究。
结果：观察到的固体和半固体的最小和最大禁食时间分别为9和24小时，分别。固体和半固体的平均禁食时间为15.8小时。透明液体观察到的最小和最大禁食时间为2和20小时，分别。透明液体的平均禁食时间为10.5小时。老年患者占很大一部分，64％（n=32）的年龄在70岁以上。
结论：注意到当前的禁食实践与皇家护理学院规定的推荐标准之间存在显着差异，大不列颠和爱尔兰麻醉师协会，欧洲麻醉学学会,和美国麻醉师协会。骨科团队医生和病房护理人员的术前禁食知识不足。
