ReviewDer Anaesthesist2008
[Preoperative fasting 2008: medical behaviour between empiricism and science].
Review in Der Anaesthesist, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 33 citations in OpenAlex.
- [Preoperative fasting in children-Experiences with implementing a liberal fasting policy].Die Anaesthesiologie · 2023Article
- [Reversal of burden of proof-Studies must show that drinking until being called to surgery is not safe].Der Anaesthesist · 2022Article
- [Preoperative fluid fasting : Establishment of a liberal fluid regimen using fasting cards].Der Anaesthesist · 2021Article
- [Anesthesia for electroconvulsive therapy].Der Anaesthesist · 2021Review
- [Preoperative fasting period of fluids in bariatric surgery].Der Anaesthesist · 2017Observational
- [Anesthesiological care of trauma patients in orthogeriatric co-management].Der Anaesthesist · 2017Review
- [Anesthesia for medical students : A brief guide to practical anesthesia in adults with a web-based video illustration].Der Anaesthesist · 2016Review
- [Anesthesiological care in orthogeriatric co-management. Perioperative treatment of geriatric trauma patients].Zeitschrift fur Gerontologie und Geriatrie · 2016Article
- [Preoperative risk evaluation from the perspective of anaesthesiology].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2011Review
- [Reduced preoperative fasting periods. Current status after a survey of patients and colleagues].Der Anaesthesist · 2010Article
- [Peri-operative adjustment and treatment of diabetes mellitus].Der Orthopade · 2009Review
- [Anesthesia in ambulatory patients].Der Anaesthesist · 2009Review
- [Breakfast before a surgery].Der Anaesthesist · 2008Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Preoperative fasting aims at minimizing the risk of pulmonary aspiration. However, perioperative safety does not directly increase with the duration of total abstinence from food and liquids. The traditional principle "nil per os from midnight on", is based on insufficient data, overinterpretation and expert opinion. In fact, the total perioperative risk of a clinically relevant regurgitation of gastric content is low. Clear liquids are not stored within the stomach for a long time and in the healthy, a fasting period of 6 h allows the total passage of solid food. Identifying those patients with an increased risk of perioperative aspiration is still difficult. In particular, the impact of pregnancy, adipositas and diabetes, trauma, smoking, opioids and renal insufficiency has not been clarified. This lack of knowledge is reflected by national and international guidelines concerning preoperative fasting, which mention the "patient at risk" without defining it exactly. Abstention from clear liquids 2 h before and of solids 6 h before induction of anesthesia, is becoming increasingly more accepted. Feeding babies with breast milk appears to be tolerated 4 h before anesthesiological procedures.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.