Preoperative Fasting and Patients’ Discomfort
- 245 Downloads
Excessive fasting times before surgery continue to be a widespread practice in Turkey. The aim of the study was to determine the relationship between traditional fasting policies and preoperative patient discomfort. Patients included were undergoing breast, hernia, thyroid, or abdominal operations at a general surgery clinic. Participants were classified as American Society of Anesthesiologists physical statuses I and II. A Likert-type scale was used to describe the effects of midnight fasting. Peripheral blood sugar and vital signs were measured immediately before induction of anesthesia. Of 164 participants, mean age was 53.56 ± 13.47 years. Mean preoperative fasting times were 13.34 ± 3.07 h for solids and 12.44 ± 2.82 h for fluids. Immediately before surgery, 6.1% of patients were extremely thirsty, 5.5% were hungry, and 39% had mild dryness of the mouth. There was a weak positive correlation between total duration of solid fasting and thirst, hunger, mouth dryness, and weakness immediately preoperatively. Prolonged fasting before surgery was associated with patients’ discomfort. Current evidence-based guidelines for preoperative fasting may improve patients’ satisfaction.
KeywordsAdult Fasting Preoperative Surgery
The manuscript has been read and approved by all authors and that all authors agree to the submission of the manuscript. All authors must have agreed on the final version of the paper and must meet at least one of the commended by the International Council of Medical Journal Editors criteria.
Compliance with Ethical Standards
The institutional review board approved the study protocol (BEAH: 2013-06).
Conflict of Interest
The authors declare that they have no conflict of interest.
- 1.Bopp C, Hoper S, Klein A, Weigand MA, Martin E, Gust R (2011) A liberal preoperative fasting regimen improves patient comfort and satisfaction with anesthesia care in day-stay minor surgery. Minerva Anestesiol 77:680–686Google Scholar
- 3.Manchikanti L, Malla Y, Wargo BW, Fellows B (2011) Preoperative fasting before interventional techniques: is it necessary or evidence-based. Pain Physician 14:459–467Google Scholar
- 4.Lambert E, Carey S (2015) Practice guideline recommendation on perioperative fasting: a systematic review. J Parenter Enteral NutrGoogle Scholar
- 5.Gül A, Andsoy II, Üstündağ H, Özkaya BÖ (2013) Assessment of preoperative fasting time in elective general surgery. The Journal of Macro Trends in Health and Medicine 1:1–8Google Scholar
- 8.de Andrade Gagheggi Ravanini G, Portari Filho PE, Abrantes Luna R, Almeida de Oliveira V (2015) Organic inflammatory response to reduced preoperative fasting time, with a carbohydrate and protein enriched solution; a randomized trial. Nutr Hosp 32(2):953–957Google Scholar
- 9.Hamid S (2014) Pre-operative fasting a patient centered approach. BMJ Qual Improv Report 23:1–4Google Scholar
- 13.de Aguilar-Nascimento JE, de Almeida Dias AL, Dock-Nascimento DB, Correia MITD, Campos ACL, Portari-Filho PE, Oliveira SS (2014) Actual preoperative fasting time in Brazilian hospitals: the BIGFAST multicenter study. Ther Clin Risk Manag 10:107–112Google Scholar
- 15.Dolgun E, Taşdemir N, Ter N, Yavuz M (2011) Investigation of preoperative fasting times of surgical patients. Fırat University Medical Journal of Health Sciences 25:11–15Google Scholar
- 19.Crenshaw JT (2011) Preoperative fasting: will the evidence ever be put into practice. Am J Nurse 111(10):38–43Google Scholar
- 20.Andrew-Romit JJ, van de Mortel TF (2011) Ritualistic preoperative fasting: is it still occurring and what can we do about it. The Journal of Perioperative Nursing in Australia 24(1):14–19Google Scholar
- 22.Mannix T (2014) Nil by mouth: best practice and patient education. Nurs Times 110(26):12–14Google Scholar
- 23.BMI classification. Report of a World Health Organization. Global database on body mass index. http://apps.who.int/bmi/index.jsp?introPage=intro_3.html. Accessed 24 Nov 2015
- 25.Bothamley J, Mardell A (2005) Preoperative fasting revisited. Br J Perioper Nurs 15:370–374Google Scholar
- 29.Liddle C (2014) Nil by mouth: best practice patient education. Nurs Times 110(26):12–14Google Scholar