Low incidence of pulmonary aspiration in children allowed intake of clear fluids until called to the operating suite

Paediatric Anaesthesia

Volumn 25, Issue 8, 2015, Pages 770-777

  Andersson, Hanna ^a   Zarén, Björn ^a   Frykholm, Peter ^a  

^a UPPSALA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

Anesthesia general; Fasting; Incidence; Intraoperative complications; Pediatrics; Respiratory aspiration of gastric contents

Indexed keywords

ADOLESCENT; ARTICLE; ARTIFICIAL VENTILATION; CHILD; CHILD DEATH; COLONOSCOPY; CONTROLLED STUDY; DIET RESTRICTION; ELECTIVE SURGERY; ENDOTRACHEAL INTUBATION; FEMALE; FLUID INTAKE; FOOD REGURGITATION; GASTROSCOPY; GENERAL ANESTHESIA; HUMAN; INCIDENCE; INFANT; INTENSIVE CARE; LARYNGEAL MASK; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; OPERATING ROOM; ORTHOPEDIC SURGERY; PERIOPERATIVE PERIOD; PRESCHOOL CHILD; PRIORITY JOURNAL; PULMONARY ASPIRATION; RADIOGRAPHY; RESPIRATORY DISTRESS; RETROSPECTIVE STUDY; RISK FACTOR; SCHOOL CHILD; UROLOGIC SURGERY; VOMITING; BEVERAGE; INTRAOPERATIVE COMPLICATIONS; PNEUMONIA, ASPIRATION; PREOPERATIVE CARE; PROCEDURES; RISK; STATISTICS AND NUMERICAL DATA;

ADOLESCENT; ANESTHESIA, GENERAL; BEVERAGES; CHILD; CHILD, PRESCHOOL; FASTING; FEMALE; HUMANS; INCIDENCE; INFANT; INTRAOPERATIVE COMPLICATIONS; MALE; PNEUMONIA, ASPIRATION; PREOPERATIVE CARE; RETROSPECTIVE STUDIES; RISK;

EID: 84936743454     PISSN: 11555645     EISSN: 14609592     Source Type: Journal    
DOI: 10.1111/pan.12667     Document Type: Article

References (25)

1. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Aneshesiologists Committee on Standards and Practice Paarameters. Anesthesiology 2011; 114: 495-511.
2. Smith I, Kranke P, Murat I, et al,. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol 2011; 28: 556-569.
3. Søreide E, Eriksson LI, Hirlekar G, et al,. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand 2005; 49: 1041-1047.
4. Schreiner MS, Triebwasser A, Keon TP,. Ingestion of liquids compared with preoperative fasting in pediatric outpatients. Anesthesiology 1990; 72: 593-597.
5. Splinter WM, Stewart JA, Muir JG,. Large volumes of apple juice preoperatively do not affect gastric pH and volume in children. Can J Anaesth 1990; 37: 36-39.
6. Schmitz A, Kellenberger CJ, Neuhaus D, et al,. Fasting times and gastric contents volume in children undergoing deep propofol sedation-an assessment using magnetic resonance imaging. Pediatr Anesth 2011; 21: 685-690.
7. Schmitz A, Kellenberger CJ, Lochbuehler N, et al,. Effect of different quantities of a sugared clear fluid on gastric emptying and residual volume in children: a crossover study using magnetic resonance imaging. Br J Anaesth 2012; 108: 644-647.
8. Murat I, Constant I, Maud'huy H,. Perioperative anaesthetic morbidity in children: a database of 24,165 anaesthetics over a 30-month period. Pediatr Anesth 2004; 14: 158-166.
9. Borland LM, Sereika SM, Woelfel SK, et al,. Pulmonary aspiration in pediatric patients during general anesthesia: incidence and outcome. J Clin Anesth 1998; 10: 95-102.
10. Warner MA, Warner ME, Warner DO, et al,. Perioperative pulmonary aspiration in infants and children. Anesthesiology 1999; 90: 66-71.
11. 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.
12. Tiret L, Nivoche Y, Hatton F, et al,. Complications related to anaesthesia in infants and children. A prospective survey of 40240 anaesthetics. Br J Anaesth 1988; 61: 263-269.
13. Walker RW,. Pulmonary aspiration in pediatric anesthetic practice in the UK: a prospective survey of specialist pediatric centers over a one-year period. Pediatr Anesth 2013; 23: 702-711.
14. Kelly CJ, Walker RW,. Perioperative pulmonary aspiration is infrequent and low risk in pediatric anesthetic practice. Pediatr Anesth 2015; 25: 36-43.
15. Cohen MM, Cameron CB, Duncan PG,. Pediatric anesthesia morbidity and mortality in the perioperative period. Anesth Analg 1990; 70: 160-167.
16. Maekawa N, Mikawa K, Yaku H, et al,. Effects of 2-, 4- and 12-hour fasting intervals on preoperative gastric fluid pH and volume, and plasma glucose and lipid homeostasis in children. Acta Anaesthesiol Scand 1993; 37: 783-787.
17. Ljungqvist O, Nygren J, Thorell A,. Insulin resistance and elective surgery. Surgery 2000; 128: 757-760.
18. Phillips S, Hutchinson S, Davidson T,. Preoperative drinking does not affect gastric contents. Br J Anaesth 1993; 70: 6-9.
19. 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: 591-595.
20. Gombar S, Dureja J, Kiran S, et al,. The effect of pre-operative intake of oral water and ranitidine on gastric fluid volume and pH in children undergoing elective surgery. J Indian Med Assoc 1997; 95: 166-168.
21. Castillo-Zamora C, Castillo-Peralta LA, Nava-Ocampo AA,. Randomized trial comparing overnight preoperative fasting period Vs oral administration of apple juice at 06:00-06:30 am in pediatri c orthopedic surgical patients. Pediatr Anesth 2005; 15: 638-642.
22. 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: 55-58.
23. Schmidt AR, Buehler P, Seglias L, et al,. Gastric pH and residual volume after 1 vs 2 h fasting time for clear fluids in children†. Br J Anaesth 2015; 114: 477-482.
24. Engelhardt T, Wilson G, Horne L, et al,. Are you hungry? Are you thirsty?-fasting times in elective outpatient pediatric patients. Pediatr Anesth 2011; 21: 964-968.
25. Marik PE,. Pulmonary aspiration syndromes. Curr Opin Pulm Med 2011; 17: 148-154.