Preoperative fasting for ambulatory cataract surgery: a systematic review
| Autor: | Amandeep S. Rai, Sherif El-Defrawy, Daniel Goldshtein, Matthew B. Schlenker, Marko Popovic |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Cataract Extraction Aspiration Pneumonitis Pneumonia Aspiration 03 medical and health sciences 0302 clinical medicine Preoperative Care medicine Clinical endpoint Humans General anaesthesia business.industry Incidence (epidemiology) General surgery Fasting General Medicine Cataract surgery medicine.disease Ophthalmology Pulmonary aspiration Ambulatory Surgical Procedures Ambulatory 030221 ophthalmology & optometry Preoperative fasting business |
| Zdroj: | Canadian Journal of Ophthalmology. 54:145-149 |
| ISSN: | 0008-4182 |
| DOI: | 10.1016/j.jcjo.2018.05.011 |
| Popis: | Given the lack of policy standardization in Canada, this systematic review investigates the optimal duration of preoperative fasting in cataract surgery. A literature search was conducted on Ovid MEDLINE, with potential articles screened by 2 independent authors. The primary endpoint was the incidence of aspiration. Overall, 231 articles were screened, of which 6 were eligible. Two studies found no cases of aspiration in over 35 000 patients who underwent cataract surgery without preoperative fasting, some with intravenous sedation (50% in 1 series, less than 1% in the second). A survey of the British Ophthalmic Anaesthesia Society found that over 50% of centres did not require fasting before cataract surgery. Only 1 included report discussed a case of aspiration pneumonitis following cataract surgery with general anaesthesia and 14hours of preoperative fasting. In closing, further evidence is needed to delineate the risk of pulmonary aspiration based on fasting time in cataract surgery. |
| Databáze: | OpenAIRE |
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