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Preoperative fastin...
Preoperative fasting in children : review of existing guidelines and recent developments
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- Frykholm, Peter, 1961- (författare)
- Uppsala universitet,Anestesiologi och intensivvård
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- Schindler, E. (författare)
- Asklepios Klin Sankt Augustin, Dept Paediat Anaesthesia, St Augustin, NRW, Germany
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- Suempelmann, R. (författare)
- Hannover Med Sch, Clin Anaesthesiol & Intens Care Med, Hannover, Germany
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- Walker, R. (författare)
- Royal Manchester Childrens Hosp, Manchester, Lancs, England
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- Weiss, M. (författare)
- Univ Childrens Hosp, Dept Anaesthesia, Zurich, Switzerland
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(creator_code:org_t)
- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: British Journal of Anaesthesia. - : Elsevier BV. - 0007-0912 .- 1471-6771. ; 120:3, s. 469-474
- Relaterad länk:
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http://bjanaesthesia...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- The current guidelines for preoperative fasting recommend intervals of 6, 4, and 2 h (6-4-2) of fasting for solids, breast milk, and clear fluids, respectively. The objective is to minimize the risk of pulmonary aspiration of gastric contents, but also to prevent unnecessarily long fasting intervals. Pulmonary aspiration is rare and associated with nearly no mortality in paediatric anaesthesia. The incidence may have decreased during the last decades, judging from several audits published recently. However, several reports of very long fasting intervals have also been published, in spite of the implementation of the 6-4-2 fasting regimens. In this review, we examine the physiological basis for various fasting recommendations, the temporal relationship between fluid intake and residual gastric content, and the pathophysiological effects of preoperative fasting, and review recent publications of various attempts to reduce the incidence of prolonged fasting in children. The pros and cons of the current guidelines will be addressed, and possible strategies for a future revision will be suggested.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- anaesthesia
- aspiration pneumonia
- children
- gastric emptying
- preoperative period
Publikations- och innehållstyp
- ref (ämneskategori)
- for (ämneskategori)
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