ArticleIrish journal of medical science2012
Reducing preoperative fasting in elective adult surgical patients: a case-control study.
Article in Irish journal of medical science, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 42 citations in OpenAlex.
- Anxiolytic effects of chewing gum during preoperative fasting and patient-centered outcome in female patients undergoing elective gynecologic surgery: randomized controlled study.Scientific reports · 2022Trial
- Relationship Between Preoperative Fasting Duration and Anxiety Levels With Postoperative Pain, Nausea-Vomiting, and Sleep Quality in Orthopedic Surgical Patients: A Cross-Sectional Study.Nursing & health sciences · 2025Article
- Non-fasting versus fasting before percutaneous cardiac procedures: a systematic review and meta-analysis of randomized controlled trials.Perioperative medicine (London, England) · 2025Review
- Article
- Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts.Indian journal of anaesthesia · 2019Review
- Critical role of microbiota within cecal crypts on the regenerative capacity of the intestinal epithelium following surgical stress.American journal of physiology. Gastrointestinal and liver physiology · 2017Article
- Influence of Fasting Duration on Body Fluid and Hemodynamics.Anesthesia progress · 2017Article
- Preoperative fasting times in elective surgical patients at a referral Hospital in Botswana.The Pan African medical journal · 2016Article
- Audit on preoperative fasting of elective surgical patients in an African academic medical center.World journal of surgery · 2014Article
- Evaluation of effects of a preoperative 2-hour fast with glutamine and carbohydrate rich drink on insulin resistance in maxillofacial surgery.Journal of oral biology and craniofacial researchArticle
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe practice of fasting from midnight prior to surgery is an outdated one.
aimsThe aim of this study was to assess the impact of an evidence-based protocol for reduced preoperative fasting on fasting times, patient safety, and comfort.
methodsA non-randomised case-control study of preoperative fasting times among adult surgical patients undergoing elective procedures was conducted. Consecutive patients were allocated to a reduced preoperative fasting protocol allowing fluids and solids up to 2 and 6 h prior to anaesthesia, respectively (n = 21). These were compared to control patients identified from an historic study of preoperative fasting times who followed the traditional fast from midnight (n = 29). Fasting times and details of patients' subjective comfort were collected using an interview-assisted questionnaire. Incidence of intraoperative aspirations was obtained from anaesthetic records.
resultsSignificant reductions in fasting times for fluids (p = 0.000) and solids (p = 0.000) were achieved following implementation of the fasting protocol. Less preoperative thirst (0.000), headache (0.012) and nausea (0.015) were reported by those who had a shorter fast. Intraoperative aspiration did not occur in either group.
conclusionImplementation of this protocol for reduced preoperative fasting achieved an appreciable reduction in fasting times and enhanced patient comfort. Patient safety was not compromised. Further modifications of our protocols are necessary to meet the international best practice. We recommend its implementation across all surgical groups in our institution.
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