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Introducing the 6-4-0 fasting regimen and the incidence of prolonged preoperative fasting in children
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Anestesiologi och intensivvård.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för medicinska vetenskaper, Gastroenterologi/hepatologi.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kirurgiska vetenskaper, Anestesiologi och intensivvård.
2018 (Engelska)Ingår i: Pediatric Anaesthesia, ISSN 1155-5645, E-ISSN 1460-9592, Vol. 28, nr 1, s. 46-52Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background

Children often starve for longer than recommended by current preoperative fasting guidelines.

Aims

We studied the effects of implementing a more lenient fasting regimen on the duration of clear fluid fasting, as well as the incidence of extended fasting in children.

Methods

Preoperative duration of clear fluid fasting was recorded for patients scheduled for procedures in a unit applying the standard 6-4-2 fasting regimen. This group was compared with a cohort in the same unit 1year after transitioning to a 6-4-0 fasting regimen. The latter includes no limitations on clear fluid intake until the child is called to theater. A third cohort from a unit in which the 6-4-0 fasting regimen has been implemented for over a decade was also studied for comparison.

Results

Patients fasting according to the 6-4-2 fasting regimen (n=66) had a median fasting time for clear fluids of 4.0h and a 33.3% incidence of fasting more than 6h. After transitioning to the 6-4-0 fasting regimen (n=64), median duration of fasting for clear fluids decreased to 1.0h, and the incidence of fasting more than 6h decreased to 6.3%. In the second unit (n=73), median fasting time was 2.2h and the proportion of patients fasting more than 6h was 21.9%.

Conclusion

The introduction and implementation of the 6-4-0 fasting regimen reduces median fluid fasting duration and the number of children subjected to extended fasting.

Ort, förlag, år, upplaga, sidor
2018. Vol. 28, nr 1, s. 46-52
Nyckelord [en]
anesthesia, children, fasting, fluids, preoperative
Nationell ämneskategori
Anestesi och intensivvård Pediatrik
Identifikatorer
URN: urn:nbn:se:uu:diva-343890DOI: 10.1111/pan.13282ISI: 000417604600008PubMedID: 29168341OAI: oai:DiVA.org:uu-343890DiVA, id: diva2:1187656
Tillgänglig från: 2018-03-05 Skapad: 2018-03-05 Senast uppdaterad: 2018-03-08Bibliografiskt granskad

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Andersson, HannaHellström, Per M.Frykholm, Peter

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