ArticleWorld journal of surgery2014
Audit on preoperative fasting of elective surgical patients in an African academic medical center.
Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Quality-improvement project to reduce actual fasting times for fluids and solids before induction of anaesthesia.BMC anesthesiology · 2021Trial
- Menthol chewing gum on preoperative thirst management: randomized clinical trial.Revista latino-americana de enfermagem · 2019Trial
- Effect of preoperative oral liquid carbohydrate intake on blood glucose, fasting-thirst, and fatigue levels: a randomized controlled study.Brazilian journal of anesthesiology (Elsevier)Trial
- True Preoperative Liquid Fasting in Romania-A Secondary Analysis of the Thirst Study.Nutrients · 2026Observational
- Factors associated with fasting time in pediatric patients hospitalized for surgery.Revista do Colegio Brasileiro de Cirurgioes · 2025Article
- Glycaemic profile of children undergoing anaesthesia (GLYCANA) at Mercy James Centre in Malawi: an observational study.BMC anesthesiology · 2023Observational
- Relationship between Fasting Times and Emergence Delirium in Children Undergoing Magnetic Resonance Imaging under Sedation.Medicina (Kaunas, Lithuania) · 2022Article
- Abbreviated perioperative fasting management for elective fresh fracture surgery: guideline adherence analysis.BMC musculoskeletal disorders · 2022Article
- Adherence to pre-operative fasting guidelines and associated factors among pediatric surgical patients in selected public referral hospitals, Addis Ababa, Ethiopia: Cross sectional study.Annals of medicine and surgery (2012) · 2022Article
- Fasting and surgery timing (FaST) audit.Clinical nutrition (Edinburgh, Scotland) · 2021Article
- Effects of a short message service (SMS) by cellular phone to improve compliance with fasting guidelines in patients undergoing elective surgery: a retrospective observational study.BMC health services research · 2021Observational
- Preoperative Fasting Time and Its Association with Hypoglycemia during Anesthesia in Pediatric Patients Undergoing Elective Procedures at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia.BioMed research international · 2021Article
- Preoperative Fasting Practices Across Three Anesthesia Societies: Survey of Practitioners.JMIR perioperative medicine · 2020Article
- A prospective survey on knowledge, attitude and current practices of pre-operative fasting amongst anaesthesiologists: A nationwide survey.Indian journal of anaesthesia · 2019Article
- Preoperative Fasting among Adult Patients for Elective Surgery in a Kenyan Referral Hospital.International scholarly research notices · 2017Article
- Preoperative fasting times in elective surgical patients at a referral Hospital in Botswana.The Pan African medical journal · 2016Article
- CHANGING PARADIGMS IN PREOPERATIVE FASTING: RESULTS OF A JOINT EFFORT IN PEDIATRIC SURGERY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgeryArticle
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2 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and thus decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fasted for a prolonged time when surgery was delayed for different reasons at the University of Gondar Hospital. The aim of this study was to assess the duration of preoperative fasting for elective surgery.
methodsA cross-sectional study was conducted from March 10 to April 10, 2013. Patients were interviewed 24 h after surgery. All 43 patients who were under anesthesia while operated on during the study period were included.
resultOf the 43 patients included in the study, 35 were adults and 8 were children. The minimum, maximum, and mean fasting hours for food were 5, 96, and 19.60, respectively, and more than 50 % of the patients fasted from food twice as long as recommended. The minimum, maximum, and mean fasting hours for fluid were 5, 19, and 12.72, respectively. More than 95 % of the patients fasted from fluid longer than recommended.
conclusionMost patients fasted from both food (92 %) and fluid (95 %) longer than the fasting time recommended by the AAGBI, ASA, RCOA, and RCN fasting guidelines. Anesthetists, surgeons, and nurses need to revise operation lists every day in the operating theatres and resuscitate the patients when surgery is delayed for various reasons. A preoperative fasting guideline should be developed and implemented in the University of Gondar Hospital.
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