Publication details
Předoperační lačnění u dětí - Doporučený postup Evropské společnosti pro anesteziologii a intenzivní péči
| Title in English | Preoperative fasting in children Recommended procedure of the European Society for Anesthesiology and Intensive Care |
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| Authors | |
| Year of publication | 2024 |
| Type | Article in Periodical |
| Magazine / Source | Anesteziologie a intenzivní medicína |
| MU Faculty or unit | |
| Citation | |
| web | https://aimjournal.cz/artkey/aim-202401-0013_predoperacni-lacneni-u-deti-doporuceny-postup-evropske-spolecnosti-pro-anesteziologii-a-intenzivni-peci.php |
| Doi | http://dx.doi.org/10.36290/aim.2024.009 |
| Keywords | preoperative fasting; children |
| Description | For years, without major modifications in the last decades, the current clinical guidelines on fasting in paediatric patients have recommended a conservative regimen. However, current publications describe the liberal approach as one in which no increased incidence of aspiration or regurgitation has been observed in patients. The aim of this European Society of Anaesthesiology and Intensive Care (ESAIC) guideline, the first to focus exclusively on preoperative lavage in paediatric patients, is to provide comprehensive and evidence-based recommendations to help clinicians, healthcare providers, patients and parents. Six main topics were selected for the literature search: studies comparing liberal and conservative regimens, the influence of food composition, the impact of comorbidities, the use of gastric ultrasound in clinical practice, validation of the use of gastric ultrasound to monitor gastric contents volume and gastric emptying, and early postoperative nutrition. The search was conducted by a professional librarian in collaboration with the ESAIC working group. The main outcomes are reduction of fasting time after clear fluid intake to 1 hour before surgery, after breastfeeding to 3 hours before surgery, and allowing early postoperative oral intake; with GRADE 1C/1B evidence. The available evidence points to the potential benefit of using gastric ultrasound for clinical decision making, and that a light breakfast may be well tolerated if intake is controlled. Further research is needed in these areas, as well as a more detailed assessment of the impact of individual patient-specific and therapy-related factors on gastric emptying. Translated with DeepL.com (free version) |
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