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The pre-op diet - does it matter?

Discussion in 'Anesthesiology' started by seewell, Nov 20, 2005.

  1. seewell

    seewell Junior Member
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    Did anyone read this article in Anesthesiology?

    Proponents of liberalized fasting guidelines.
    by Cook-Sather SD, Nicolson SC, Schreiner MS, Maxwell LG, Park JJ, Gallagher PR, Cohen DE
    Anesthesiology 2005 Jan;102(1):236-7; author reply 238

    I'd love to hear your thoughts.
     
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  3. militarymd

    militarymd SDN Angel
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    Current NPO guidlines are nothing more than a medical-legal document. There is very poor data on when the stomach is empty, and when gastric contents will lead to aspiration.

    I advocate CT scan or ultrasound to evaluate for gastric emptying.
     
  4. Noyac

    Noyac ASA Member
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    I read it and all I remember is thinking how confused the patients and nurses (our pre-op nurses give the NPO instructions the day b/4 surgery) will be if we allow them to eat some things and not others. I tried to allow oral intake with my patients but it just confuses them and the nurses so much that I have gone back to nothing after midnight. The pts always went too far. Or they thought it was just a form of torture and that it didn't really matter if they ate a Big Mac on the way to the hosp. I frequently would say, well lets just do the case and my partners would say not for 6 hours and others would cancel. The surgeons were confused, the patients were confused and the nurses. It ended up being the most common reason to be called to the per-op clininc. Its just not worth it. If you ask me our society could skip a few more meals as well. I don't remember the study per-se but I think this covers what I got out of it.
     
  5. seewell

    seewell Junior Member
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  6. adleyinga

    adleyinga Einstein
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  7. jetproppilot

    jetproppilot Turboprop Driver
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  8. toughlife

    toughlife Resident
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