Preoperative fasting time: What do the guidelines say? What are we doing?
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Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
T.C. Maltepe Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
General anesthesia for both elective and emergency surgical patients reduces regurgitation and aspiration of stomach contents. Therefore, one fo the implementations included in the pre- surgical physiological preparation is preoperative fasting. The purpose of fasting is to reduce the risk of regurgitation and aspiration by reducing the volume and acidity of stomach contents during surgery. In the traditional approach, patients in our country and earth are prevented from receiving solid and liquid food after midnight. According to the recommendations of guidelines, it is stated that in adults, it is sufficient to cut solid food six hours before surgery, clear liquid two hours before surgery, breast milk for babies four hours before and cow milk before six hours. These times are also safe for obese patients, children, diabetic and gastrointestinal reflexes. However, it is observed that pre- surgery periods of solid/liquid restriction have been much higher than the times specified in the guidelines. When we look at the literature, it appears that preoperative fasting times have extended up to 15-25 hours. Failure to properly adjust the fasting time in the preoperative period can result in poor nutrition, inadequate nutrition, blood-glucose level changes, decreased dehydration, reduced response to medical treatment and adversely affected by the condition of good behavior during the post-operative period. Research suggests that the standard approach to fasting is an application that results in undesirable results, while short periods of starvation increase the patient’s well-being. Although long periods of strict-liquid food restriction before surgery are harmful and unnecessary, the traditional practice is to provide ease of changing the surgical plans of the hunger principle from midnight, the belief that patients will have difficulty adapting to short periods of hunger, that patients do not understand the reasons for food-liquid restriction well enough, it is seen that our country is still solid because there are no institutional policies related to nutrient-liquid restriction and health personnel do not have enough information about the matter. Nurses with preconditional responsibilities in the care of surgical patients should follow evidence-based quides and scientific developments regarding preoperativefasting periods and collaborate with the team to ensure that patients are protected from unnecessary long-term fasting during the preoperative period and to apply reliable fasting periods for safety, comfort and improvement quality
Açıklama
Anahtar Kelimeler
Kaynak
Maltepe Üniversitesi Tıbbi Bilimler ve Hemşirelik Uluslararası Öğrenci Kongresi
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Scopus Q Değeri
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Sayı
Künye
Erdoğan, B., Soytürk, E.S., Kurt, B., Demirkol, V., Demirdağ, H. ve Akgün, M. (2022). Preoperative fasting time: What do the guidelines say? What are we doing?. Thomas, P.B., Öner, Ç., Avcı Alpar, D. ve Erkut, Z. (Ed.). Maltepe Üniversitesi Tıbbi Bilimler ve Hemşirelik Uluslararası Öğrenci Kongresi içinde (ss. 37). İstanbul: T.C. Maltepe Üniversitesi.
