AORN Journal
Volume 90, Issue 1 , Pages 73-80 , July 2009

Adopting Preoperative Fasting Guidelines

  • Megan Anderson, MS, RN, CRNA

      Affiliations

    • Megan Anderson, MS, RN, CRNA, is a certified registered nurse anesthetist at Western Anesthesiology Associates, St Louis, MO.
    • ,
  • Rhonda Comrie, PhD

      Affiliations

    • Rhonda Comrie, PhD, is an assistant professor at Southern Illinois University, Edwardsville.

References 

  1. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting . Anesthesiol . 1999;90(3):896–905
  2. Crenshaw JT , Winslow EH . Preoperative fasting: old habits die hard . Am J Nurs . 2002;102(5):36–44
  3. Green CR , Pandit SK , Schork MA . Preoperative fasting time: is the traditional policy changing? Results of a national survey . Anesth Analg . 1996;83(1):123–128
  4. Shime N , Ono A , Chihara E , Tanaka Y . Current practice of preoperative fasting: a nationwide survey in Japanese anesthesia-teaching hospitals . J Anesth . 2005;19(3):187–192
  5. Heater BS , Becker AM , Olson RK . Nursing interventions and patient outcomes: a meta-analysis of studies . Nurs Res . 1988;37(5):303–307
  6. Rogers EM . Diffusion of Innovations . New York, NY: Free Press of Glencoe; 1963;
  7. Rogers EM . Diffusion of Innovations . 5th ed.. New York, NY: Free Press; 2003;
  8. Diks J , van Hoorn DE , Nijveldt RJ , et al.   Preoperative fasting: an outdated concept? . J Parenter Enteral Nutr . 2005;29(4):298–304
  9. Jacob M , Chappel D , Conzen P , Finsterer U , Rehm M . Blood volume is normal after pre-operative overnight fasting . Acta Anaesthesiol Scand . 2008;52(4):522–529
  10. Shevde K , Trivedi N , Gross M . Effects of clear liquids on gastric volume and pH in healthy volunteers . Anesth Analg . 1991;72(4):528–531
  11. Brady M , Kinn S , Stuart P . Preoperative fasting for adults to prevent perioperative complications . Cochrane Database Syst Rev . 2003;(4):004423
  12. Maltby JR , Pytka S , Watson NC , Cowan RA , Fick GH . Drinking 300 mL of clear fluid two hours before surgery has no effect on gastric fluid volume and pH in fasting and non-fasting obese patients . Can J Anesth . 2004;51(2):111–115
  13. Sakai T , Planinsic RM , Quinlan JJ , Handley LJ , Kim TY , Hilmi IA . The incidence and outcome of perioperative pulmonary aspiration in a university hospital: a 4-year retrospective analysis . Anesth Analg . 2006;103(4):941–947
  14. Hausel J , Nygren J , Lagerkranser M , et al.   A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients . Anesth Analg . 2001;93(5):1344–1350
  15. Melis GC , van Leeuwen PA , von Blomberg-van der Flier BM , et al.   A carbohydrate-rich beverage prior to surgery prevents surgery-induced immunodepression: a randomized, controlled, clinical trial . J Parenter Enteral Nutr . 2006;30(1):21–26
  16. Saqr L , Chambers WA . Preventing excessive preoperative fasting: national guideline or local protocol? . Anaesth . 2006;61(1):1–3
  17. Murphy GS , Ault ML , Szokol JW . The effect of a new NPO policy on operating room utilization . J Clin Anesth . 2000;12(1):48–51

PII: S0001-2092(09)00101-X

doi: 10.1016/j.aorn.2009.01.026

AORN Journal
Volume 90, Issue 1 , Pages 73-80 , July 2009

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