Preoperative starvation and pulmonary aspiration : New perspectives and guidelines

West Indian Medical Journal

Volumn 51, Issue 4, 2002, Pages 241-245

  Scarlett, M ^a   Crawford Sykes, A ^a   Nelson, M ^a  

^a UNIVERSITY OF THE WEST INDIES   (Jamaica)

Author keywords

[No Author keywords available]

Indexed keywords

ANESTHETIC AGENT;

ABDOMINAL PRESSURE; ADULT; AGE; AGED; AIRWAY; ANESTHESIA INDUCTION; ANXIETY; ASPIRATION PNEUMONIA; CARIBBEAN ISLANDS; CHILD; CONSCIOUSNESS DISORDER; DIET RESTRICTION; ELECTIVE SURGERY; EMERGENCY SURGERY; ESOPHAGUS DISEASE; FLUID INTAKE; FOOD DEPRIVATION; GASTROESOPHAGEAL REFLUX; GENERAL SURGERY; HEAD INJURY; HUMAN; HUNGER; INCIDENCE; IRRITABILITY; LUNG ASPIRATION; MORBIDITY; MORTALITY; PERIOPERATIVE PERIOD; PRACTICE GUIDELINE; PREOPERATIVE CARE; PROSPECTIVE STUDY; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; REVIEW; RISK FACTOR; STARVATION; STOMACH CONTENT; STOMACH EMPTYING; STOMACH PH; STOMACH VOLUME; THIRST; UNIVERSITY HOSPITAL;

FASTING; HUMANS; INTRAOPERATIVE COMPLICATIONS; PNEUMONIA, ASPIRATION; PREOPERATIVE CARE;

EID: 0036983158     PISSN: 00433144     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (52)

1. Stoelting RNPO and Aspiration: New perspective. American Society of Anesthesiology Annual Refresher Course Book 1997; 111: 1-7.
2. Tasch MD, Stoelting RK. Aspiration prevention prophylaxis, and treatment. In: Benumof JL (ed). Airway Management. Mosby, St Louis. 1996: 183-201.
3. Cote CJ. NPO after midnight for children - a reappraisal (Editorial). Anesthesiology 1990; 72: 589-92.
4. Brimacombe JR, Berry AM. Cricoid pressure. Can J Anaesth 1997; 44: 414-25.
5. Kallar SK, Everett LL. Potential risk and preventive measures for pulmonary aspiration: New concepts in preoperative fasting guidelines. Anesth Analg 1993; 77: 171-82.
6. Goresky GV, Maltby JR. Fasting guidelines for elective surgical patients. Can J Anaesth 1990; 37: 493-5.
7. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet and Gynecol 1946; 52: 191-205.
8. Huxley EJ, Viroslav J, Gray WR, Pierce AK. Pharyngeal aspiration in normal adults and patients with depressed consciousness. Am J Med 1978; 64: 564-8.
9. Gleeson K, Eggli DF and Maxwell SL. Quantitative aspiration during sleep in normal subjects. Chest 1997; 111: 1266-72.
10. Harter RL, Kelly WB, Kramear MG, Perez CE, Dzwonczyk RR. A comparison of the volume and pH of gastric contents of obese and lean surgical patients. Anesth Analg 1998; 86: 147-52.
11. Greenfield SM, Webster GJ, Vicary FR. Drinking before sedation. Br Med J 1997; 314: 162.
12. Jackson SH. Efficacy and safety of cricoid pressure needs scientific valuation. Anesthesiology 1996; 84: 751-2.
13. Maltby JR, Sutherland AD, Sale JP, Shaffer EA. Preoperative oral fluids: is a five-hour fast justified prior to elective surgery? Anesth Analg 1986; 65: 1112-6.
14. Hanna WJ. Early experiences with anaesthesia and the first recorded use of ether in Jamaica, 1847. West Indian Med J 1987; 36: 60-7.
15. Strunin L. How long should patients fast before surgery? Time for new guidelines. Br J Anaesth 1993; 70: 1-3.
16. Hunter AR and Moir DD. Confidential enquiry into maternal deaths (Editorial). Br J Anaesth 1983; 55: 367-9.
17. Olsson GL, Hallen B, Hambraeus-Jonzon K. Aspiration during anaesthesia:a computer-aided study of 185 358 anaesthetics. Acta Anaesthesiol Scand 1986; 30: 84-92.
18. Phillips S, Daborn AK and Hatch DJ. Preoperative fasting for paediatric anaesthesia. Br J Anaesth 1994: 73: 529-36.
19. Engelhardt T, Webster NR. Pulmonary aspiration of gastric contents in anaesthesia. Br J Anaesth 1999: 83: 453 -60.
20. Davies P, Warwick J. Regurgitation, vomiting and aspiration. Anaesthesia and Intensive Care Medicine 2001; 2: 358-61.
21. Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiol 1993; 78: 56-62.
22. Tiret L, Nivoche Y, Hatton F, Desmonts JM, Vourc'h G. Complications related to anesthesia in infants and children. A prospective survey of 40240 anaesthetics. Br J Anaesth 1988; 61: 263-9.
23. Cote CJ, Goudsouzian NG, Liu LM, Dedrick DF, Szyfelbein SK. Assessment of risk factors related to the acid aspiration syndrome in pediatric patients - gastric and residual volume. Anesthesiology 1982; 56: 70-2.
24. Splinter WM, Stewart JA, Muir JG. The effect of preoperative apple juice on gastric contents, thirst and hunger in children. Can J Anaesth 1989; 36: 55-8.
25. Sandhar BK, Goresky GV, Maltby JR, Shaffer EA. Effect of oral liquids and ranitidine on gastric fluid volume and pH in children undergoing outpatient surgery. Anesthesiology 1989; 71: 327-30.
26. Crawford M, Lerman J, Christensen S, Farrow-Gillespie A. Effects of duration of fasting on gastric fluid pH and volume in healthy children. Anesth Analg 1990; 71: 400-3.
27. Schreiner MS, Triebwasser A, Keon TP. Ingestion of liquids compared with preoperative fasting in pediatric outpatients. Anesthesiology 1990; 72: 593-7.
28. Wright RA, Krinsky S, Fleeman C. Gastric emptying and obesity. Gastroenterology 1983; 84: 747-51.
29. Taylor WJ, Champion MC, Barry AW, Hurtig JB. Measuring gastric contents during general anaesthesia: evaluation of blind gastric aspiration. Can J Anaesth 1989; 36: 51-4.
30. Shevde K, Trivedi N. Effects of clear liquids on gastric volume and pH in healthy volunteers. Anesth Analg 1991; 72: 528-31.
31. Roberts RB, Shirley MA. Reducing the risk of acid aspiration during caesarian section. Anesth Analg 1974; 53: 859-68.
32. Sutherland AD, Stock JG, Davies JM. Effects of preoperative fasting on morbidity and gastric contents in patients undergoing day-stay surgery. Br J Anaesth 1986; 58: 876-8.
33. Goodwin AP, Rowe WL, Ogg TW, Samaan Aral fluids prior to day surgery. The effect of shortening the preoperative fluid fast on postoperative morbidity. Anaesthesia 1991; 46: 1066-8.
34. Ong BY, Palahniuk RJ, Cumming M. Gastric volume and pH in outpatients. Can Anaesth Soc J 1978; 25: 36-9.
35. Scarr M, Maltby JR, Jani K, Sutherland LR. Volume and acidity of residual gastric fluid after oral fluid ingestion before elective ambulatory surgery. Can Med Assoc J 1989; 141: 1151-4.
36. Sutherland AD, Maltby JR, Sale JP, Reid CR. The effect of preoperative oral fluid and ranitidine on gastric fluid volume and pH. Can J Anaesth 1987; 34: 117-21.
37. Hutchinson A, Maltby JR, Reid CRG. Gastric fluid volume and pH in elective inpatients. Part I: Coffee or orange juice versus overnight fast. Can J Anaesth 1988; 35: 12-15.
38. Maltby JR, Reid CR, Hutchinson A. Gastric fluid volume and pH in elective inpatients. Part II: Coffee or orange juice with ranitidine. Can J Anaesth 1988; 35: 16-19.
39. Todd JG, Nimmo WS. Effect of premedication on drug absorption and gastric emptying. Br J Anaesth 1983; 55: 1189-93.
40. Maltby JR, Koehli N, Ewen A, Shaffer EA. Gastric fluid volume, ph and emptying in elective inpatient influences of narcotic-atropine premedication, oral fluids and ranitidine. Can J Anaesth 1988; 35: 562-6.
41. Roberts CJ, Goodman NW. Gastro-oesophageal reflux during elective laparoscopy. Anaesthesia 1990; 45: 1009-11.
42. Illing LI, Duncan PG, Yip R. Gastroesophageal reflux during anaesthesia. Can J Anaesth 1992; 39: 466-70.
43. McGrady EM, Macdonald AG. Effect of the preoperative administration of water on gastric volume and pH. Br J Anaesth 1988: 60: 803-5.
44. Maltby JR, Lewis P, Martin A, Sutherland LR. Gastric fluid volume and pH in elective patients following unrestricted oral fluid until three hours before surgery. Can J Anaesth 1991; 38: 425-9.
45. Read MS, Vaughan RS. Allowing pre-operative patients to drink: effects on patients' safety and comfort of unlimited oral water until 2 hours before anaesthesia. Acta Anaesthesiol Scand 1991; 35: 591-5.
46. Miller M, Wishart HY, Nimmo W. Gastric contents at induction of anaesthesia: is a 4-hour fast necessary? Br J Anaesth 1983; 55: 1185-8.
47. Phillips S, Hutchinson S, Davidson T. Preoperative drinking does not affect gastric contents. Br J Anaesth 1993: 70: 6-9.
48. Raidoo DM, Brock-Utne JG, Rocke DA, Marszalek A, Englebrecht HE. The critical volume in acid aspiration (Abstract). Anesthesiology 1989; 71: A879.
49. Practice guidelines for the preoperative fasting and the use of pharmacologic agents to reduce the risk pulmonary aspiration: Application to healthy patients undergoing elective procedures. A report by the American Society of Anesthesiologists Task Force on Preoperative fasting. Anesthesiology 1999; 90: 896-905.
50. The shortened fluid fast and the Canadian Anaesthetists' Society's new guidelines for fasting in elective/emergency patients (Symposium report). Can J Anaesth 1990; 37: 905-6.
51. Fennelly M, Galletly DC, Purdie GI. Is caffeine withdrawal the mechanism of postoperative headache? Anesth Analg 1991; 72: 449-53.
52. Smith AF, Vallance H, Slater RM. Shorter preoperative fluid fasts reduce postoperative emesis (Letter). Br Med J 1997; 314: 1486.