| Autor: |
MA TJ, M. DAMANHURI, KEVIN WS NG, CHAW SH, NADZRAH SY, II SHARIFFUDDIN |
| Předmět: |
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| Zdroj: |
Medicine & Health (Universiti Kebangsaan Malaysia); 2021 Supplement, Vol. 16, p64-64, 1p |
| Abstrakt: |
in 2018 recommends a more liberal fasting time for clear fluids (CF) in children up to one hour before general anaesthesia (GA). A restricted CF fasting time of two hours is often exceeded in clinical practice. Prolonged periods of fasting time in children can be detrimental and lead to a stressful anaesthesia induction.1 This study aims to compare the gastric residual volume (GRV) of paediatric patients after one versus two hours of CF fasting using ultrasound and nasogastric aspiration. Methods: Children (5-17 years) scheduled for general anaesthesia (GA) requiring tracheal intubation were enrolled and randomised into Group A (one hour) or B (two hours) of CF fasting. Ultrasound assessment was performed prior to induction of GA and GRV was calculated using Perlas2 and Desgranges3 equation. Post intubation, nasogastric tube (NGT) was inserted and its aspirated volume measured. Patient's anxiety level and parental satisfaction were also assessed. The relationship between fasting intervals, total fluid intake and GRV calculated by ultrasound and NGT aspirated volume were studied. Results: In total, 56 patients were included. There is no significant difference in GRV measured from NGT aspiration (0.12 + 0.26 ml/kg vs 0.21 + 0.38 ml/kg, p=0.19) between both groups despite significant difference in fasting time (62.1 + 11.3 min vs 121.3 + 19.8, p<0.001). GRV measured from NGT aspiration is weakly correlated with GRV assessed by ultrasound (r=0.312, p=0.019 using Desgranges and r=0.113, p=0.406 using Perlas equation). Patients' anxiety level (42.7 + 15.6% vs 39.9 + 16.6%, p=0.41) and parents' satisfaction score (86.7 + 6.9% vs 86.6 + 6.1%, p=0.96) between groups A and B did not differ significantly. Conclusion: One-hour CF fasting does not significantly increase GRV and aspiration risk compared to two-hour fasting. This supports the more liberal fasting regimen favouring a one-hour CF fasting time. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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