onr:"swepub:oai:DiVA.org:uu-365270"
Search: onr:"swepub:oai:DiVA.org:uu-365270" > Preoperative fastin...
- 1 of 1
- Previous record
- Next record
- To hitlist
- Frykholm, Peter,1961-Uppsala universitet,Anestesiologi och intensivvård (author)
Preoperative fasting in children : review of existing guidelines and recent developments
- Article/chapterEnglish2018
Publisher, publication year, extent ...
- Elsevier BV,2018
- printrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-365270
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-365270URI
- https://doi.org/10.1016/j.bja.2017.11.080DOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- 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.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
- anaesthesia
- aspiration pneumonia
- children
- gastric emptying
- preoperative period
Added entries (persons, corporate bodies, meetings, titles ...)
- Schindler, E.Asklepios Klin Sankt Augustin, Dept Paediat Anaesthesia, St Augustin, NRW, Germany (author)
- Suempelmann, R.Hannover Med Sch, Clin Anaesthesiol & Intens Care Med, Hannover, Germany (author)
- Walker, R.Royal Manchester Childrens Hosp, Manchester, Lancs, England (author)
- Weiss, M.Univ Childrens Hosp, Dept Anaesthesia, Zurich, Switzerland (author)
- Uppsala universitetAnestesiologi och intensivvård (creator_code:org_t)
Related titles
- In:British Journal of Anaesthesia: Elsevier BV120:3, s. 469-4740007-09121471-6771
Internet link
Find in a library
- British Journal of Anaesthesia (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Frykholm, Peter, ...
- Schindler, E.
- Suempelmann, R.
- Walker, R.
- Weiss, M.
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Anesthesiology a ...
- Articles in the publication
- British Journal ...
- By the university
- Uppsala University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
