Modern preoperative fasting guidelines: a summary of the present recommendations and remaining questions

Best Practice and Research: Clinical Anaesthesiology

Volumn 20, Issue 3, 2006, Pages 483-491

  Søreide, Eldar ^a   Ljungqvist, Olle ^b  

^a STAVANGER UNIVERSITY HOSPITAL   (Norway)

^b ERSTA HOSPITAL   (Sweden)

Author keywords

anaesthesia; diabetes; emergency surgery; fluid balance; gastro oesophageal reflux disease; obesity; postoperative metabolism; preoperative fasting

Indexed keywords

CARBOHYDRATE;

ANESTHESIOLOGY; CARBOHYDRATE INTAKE; CLINICAL RESEARCH; DIABETES MELLITUS; DIET RESTRICTION; EMERGENCY PATIENT; EMERGENCY SURGERY; FLUID BALANCE; GASTROESOPHAGEAL REFLUX; GASTROINTESTINAL DISEASE; HUMAN; IMMUNE SYSTEM; LUNG ASPIRATION; MEDICAL PRACTICE; NUTRITION; OBESITY; PERIOPERATIVE PERIOD; POSTOPERATIVE PERIOD; PRACTICE GUIDELINE; PREOPERATIVE CARE; PRIORITY JOURNAL; REVIEW; RISK REDUCTION; STOMACH EMPTYING; STOMACH FUNCTION DISORDER;

ANESTHESIOLOGY; FASTING; HUMANS; PHYSICIAN'S ROLE; PHYSICIAN-NURSE RELATIONS; PRACTICE GUIDELINES; PRACTICE GUIDELINES AS TOPIC; PREOPERATIVE CARE;

EID: 33748432579     PISSN: 15216896     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.bpa.2006.03.002     Document Type: Review

References (36)

1. Ljungqvist O., and Soreide E. Preoperative fasting. The British Journal of Surgery 90 4 (2003) 400-406
2. Brady M., Kinn S., and Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database of Systematic Reviews (Online) 4 (2003) CD004423
3. Spies C.D., Breuer J.P., Gust R., et al. Preoperative fasting. An update. Der Anaesthesist 52 11 (2003) 1039-1045
4. Soreide E., Eriksson L.I., Hirlekar G., et al. Pre-operative fasting guidelines: an update. Acta Anaesthesiologica Scandinavica 49 8 (2005) 1041-1047
5. Petring O.U., and Blake D.W. Gastric emptying in adults: an overview related to anaesthesia. Anaesthesia and Intensive Care 21 6 (1993) 774-781
6. Olsson G.L., and Hallen B. Pharmacological evacuation of the stomach with metoclopramide. Acta Anaesthesiologica Scandinavica 26 5 (1982) 417-420
7. Adelhoj B., Petring O.U., Pedersen N.O., et al. Metoclopramide given pre-operatively empties the stomach. Acta Anaesthesiologica Scandinavica 29 3 (1985) 322-325
8. Mendelson C. The aspiration of stomach contents into the lungs during obstetric anaesthesia. American Journal of Obstetrics and Gynecology 52 (1946) 191-205
9. Ng A., and Smith G. Gastroesophageal reflux and aspiration of gastric contents in anesthetic practice. Anesthesia and Analgesia 93 2 (2001) 494-513
10. Scrutton M.J., Metcalfe G.A., Lowy C., Seed P.T., and O'Sullivan G. Eating in labour. A randomised controlled trial assessing the risks and benefits. Anaesthesia 54 4 (1999) 329-334
11. Soreide E., Bjornestad E., and Steen P.A. An audit of perioperative aspiration pneumonitis in gynaecological and obstetric patients. Acta Anaesthesiologica Scandinavica 40 1 (1996) 14-19
12. Little R.A., Henderson A., Frayn K.N., et al. The disposal of intravenous glucose studied using glucose and insulin clamp techniques in sepsis and trauma in man. Acta Anaesthesiologica Belgica 38 4 (1987) 275-279
13. Horowitz M., O'Donovan D., Jones K.L., et al. Gastric emptying in diabetes: clinical significance and treatment. Diabetic Medicine 19 3 (2002) 177-194
14. Nygren J., Thorell A., Hellstrom P.M., et al. Preoperative carbohydrate loading in patients with well-controlled type 2 diabetes - unaffected gastric emptying and glucose control. Clinical Nutrition 23 supplement 4 (2004) 785
15. Kluger M.T., and Short T.G. Aspiration during anaesthesia: a review of 133 cases from the Australian Anaesthetic Incident Monitoring Study (AIMS). Anaesthesia 54 1 (1999) 19-26
16. Maltby J.R., Pytka S., Watson N.C., et al. Drinking 300 mL of clear fluid two hours before surgery has no effect on gastric fluid volume and pH in fasting and non-fasting obese patients. Canadian Journal of Anaesthesia 51 2 (2004) 111-115
17. Cassinello Ogea C., Oliva Perales P., Herranz Andres P., et al. Comparison of gastric aspirate volume after intubation in patients with and without symptoms of gastroesophageal reflux disease. Revista española de anestesiología y reanimación 52 6 (2005) 328-335
18. Hausel J., Thorell A., Nygren J., et al. Preoperative beverages in patients with upper gastrointestinal symptoms. Clinical Nutrition 19 supplement 1 (2000) 132 [Abstract]
19. Hveem K., Hausken T., and Berstad A. Ultrasonographic assessment of fasting liquid content in the human stomach. Scandinavian Journal of Gastroenterology 29 9 (1994) 786-789
20. Brock-Utne J.G., Moshal M.G., Downing J.W., et al. Fasting volume and acidity of stomach contents associated with gastrointestinal symptoms. Anaesthesia 32 (1977) 749-752
21. Fearon K.C., Ljungqvist O., Von Meyenfeldt M., et al. Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection. Clinical Nutrition 24 3 (2005) 466-477
22. Nygren J., Soop M., Franden E., et al. Accelerated recovery with a fast-track programme in colonic resection and TME. Second Joint Meeting, European Association of Coloproctology (2005), Blackwell publishing, Bologna
23. Thorell A., Nygren J., and Ljungqvist O. Insulin resistance: a marker of surgical stress. Current Opinion in Clinical Nutrition and Metabolic Care 2 1 (1999) 69-78
24. Ljungqvist O. To fast or not to fast? Metabolic preparation for elective surgery. Scandinavian Journal of Nutrition 48 2 (2004) 77-82
25. Ljungqvist O., Nygren J., Soop M., and Thorell A. Metabolic perioperative management: novel concepts. Current Opinion in Critical Care 11 4 (2005) 295-299
26. Soop M., Carlson G.L., Hopkinson J., et al. Randomized clinical trial of the effects of immediate enteral nutrition on metabolic responses to major colorectal surgery in an enhanced recovery protocol. The British Journal of Surgery 91 9 (2004) 1138-1145
27. van den Berghe G., Wouters P., Weekers F., et al. Intensive insulin therapy in the critically ill patients. The New England Journal of Medicine 345 19 (2001) 1359-1367
28. Melis G.C., van Leeuwen P.A., von Blomberg-van der Flier B.M., et al. A carbohydrate-rich beverage prior to surgery prevents surgery-induced immunodepression: a randomized, controlled, clinical trial. Journal of Parenteral and Enteral Nutrition 30 1 (2006) 21-26
29. Ljungqvist O., Nygren J., and Thorell A. Modulation of post-operative insulin resistance by pre-operative carbohydrate loading. The Proceedings of the Nutrition Society 61 3 (2002) 329-336
30. Furnary A.P., Zerr K.J., Grunkemeier G.L., and Starr A. Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. The Annals of Thoracic Surgery 67 2 (1999) 352-360 (discussion 360-362)
31. Holte K., Nielsen K.G., Madsen J.L., and Kehlet H. Physiologic effects of bowel preparation. Diseases of the Colon and Rectum 47 8 (2004) 1397-1402
32. Slim K., Vicaut E., Panis Y., and Chipponi J. Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation. The British Journal of Surgery 91 9 (2004) 1125-1130
33. McLeod R., Fitzgerald W., and Sarr M. Canadian Association of General Surgeons and American College of Surgeons evidence based reviews in surgery. 14. Preoperative fasting for adults to prevent perioperative complications. Canadian Journal of Surgery 48 5 (2005) 409-411
34. Lassen K., Hannemann P., Ljungqvist O., et al. Patterns in current perioperative practice: survey of colorectal surgeons in five northern European countries. British Medical Journal 330 7505 (2005) 1420-1421
35. Urbach D.R., and Baxter N.N. Reducing variation in surgical care. British Medical Journal 330 7505 (2005) 1401-1402
36. Nygren J. The metabolic effects of fasting and surgery. Best Practice and Research Clinical Anaesthesiology 20 (2006) 429-438