The effect of shortening the time of preoperative fasting and fluid limitation on lumber disc herniation patients undergoing minimally invasive surgery_West China Medical Journal

Authors：

ZHANG Xinyu ,  NING Ning , LI Peifang , CHEN Jiali , ZENG Jiancheng

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Lumber disc herniation; Preoperative fasting and fluid limitation; Enhanced recovery after surgery; Postoperative nausea and vomiting

DOI：

10.7507/1002-0179.201707101

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the safety and necessity of shortening the time of preoperative fasting and fluid limitation in lumber disc herniation patients undergoing minimally invasive surgery. Methods A total of 141 eligible patients were assigned into the control group (n=70) and the intervention group (n=71) between April and September 2015. The control group received traditional fasting method while the intervention group received new preoperative fasting method. The time of fasting food and fluid limitation, the incidences of hunger, thirsty, aspiration, postoperative nausea and vomiting, postoperative abdominal distension, and length of stay and the subjective feeling in hospital were compared between the two groups. Results The average time of preoperative fasting and fluid limitation were (13.09±2.30) and (7.84±2.10) hours in the control group and (6.88±0.96) and (4.68±1.08) hours in the intervention group. The incidence of thirsty in the intervention group was shorter than that in the control group, and the subjective feeling in hospital of the intervention group was better than that in the control group (P<0.05). There were no significant differences in the incidence of postoperative nausea and vomiting, the incidence of postoperative abdominal distension, and length of hospital stay between the two groups (P>0.05). Conclusions Shortening the time of preoperative fasting and fluid limitation can improve the subjective feeling in hospital of lumber disc herniation patients undergoing minimally invasive surgery, not increasing the incidences of complications. It can be applied gradually.

Citation： ZHANG Xinyu, NING Ning, LI Peifang, CHEN Jiali, ZENG Jiancheng. The effect of shortening the time of preoperative fasting and fluid limitation on lumber disc herniation patients undergoing minimally invasive surgery. West China Medical Journal, 2017, 32(9): 1320-1323. doi: 10.7507/1002-0179.201707101 Copy

1.	Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol, 1946, 52(2): 191-205.
2.	李乐之, 路潜. 外科护理学. 北京: 人民卫生出版社, 2012: 91-98.
3.	蒋俊梅. 缩短骨科择期手术患者术前禁食禁水时间的研究. 现代中西医结合杂志, 2013, 22(2): 206-207.
4.	The American Society of Anesthesiologist. 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: a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting. Anesthesiology, 1999, 90(3): 896-905.
5.	Abdullah Al Maqbali M. Preoperative fasting for elective surgery in a regional hospital in Oman. Br J Nurs, 2016, 25(14): 798-802.
6.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS(_®)) Society recommendations. World J Surg, 2013, 37(2): 259-284.
7.	江志伟, 李宁. 结直肠手术应用加速康复外科中国专家共识(2015 版)中华胃肠外科杂志, 2015, 35(8): 785-787.
8.	Miller DM, Lavelle M. A streamlined pharynx airway liner: a pilot study in 22 patients in controlled and spontaneous ventilation. Anesth Analg, 2002, 94(3): 759-761; table of contents.
9.	徐锐, 庄文. 肠内生态免疫营养在结直肠癌围手术期的应用. 中国普外基础与临床杂志, 2014, 21(7): 921-924.
10.	吴国豪. 营养支持在肿瘤治疗中的作用. 中华普通外科杂志, 2007, 22(9): 720-723.
11.	Tosun B, Yava A, Açıkel C. Evaluating the effects of preoperative fasting and fluid limitation. Int J Nurs Pract, 2015, 21(2): 156-165.
12.	Klemetti S, Kinnunen I, Suominen T, et al. The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy. J Clin Nurs, 2010, 19(3/4): 341-350.
13.	李辰, 韩柏. 焦虑症在 microRNAs 水平的研究进展. 中华临床医师杂志: 电子版, 2015, 9(24): 4690-4693.
14.	Kindler CH, Harms C, Amsler F, et al. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth Analg, 2000, 90(3): 706-712.
15.	Itou K, Fukuyama T, Sasabuchi Y, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. J Anesth, 2012, 26(1): 20-27.
16.	朱大年. 生理学. 北京: 人民卫生出版社, 2008: 180.
17.	de Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: a trend based on evidence. World J Gastrointest Surg, 2010, 2(3): 57-60.
18.	Lauwick SM, Kaba A, Maweja S, et al. Effects of oral preoperative carbohydrate on early postoperative outcome after thyroidectomy. Acta Anaesthesiol Belg, 2009, 60(2): 67-73.
19.	Yilmaz N, Cekmen N, Bilgin F, et al. Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci, 2013, 18(10): 827-832.
20.	Yagmurdur H, Gunal S, Yildiz H, et al. The effects of carbohydrate-rich drink on perioperative discomfort, insulin response and arterial pressure in spinal aesthesia. J Res Med Sci, 2011, 16(11): 1483-1489.

1. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol, 1946, 52(2): 191-205.
2. 李乐之, 路潜. 外科护理学. 北京: 人民卫生出版社, 2012: 91-98.
3. 蒋俊梅. 缩短骨科择期手术患者术前禁食禁水时间的研究. 现代中西医结合杂志, 2013, 22(2): 206-207.
4. The American Society of Anesthesiologist. 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: a report by the American Society of Anesthesiologist Task Force on Preoperative Fasting. Anesthesiology, 1999, 90(3): 896-905.
5. Abdullah Al Maqbali M. Preoperative fasting for elective surgery in a regional hospital in Oman. Br J Nurs, 2016, 25(14): 798-802.
6. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS(_®)) Society recommendations. World J Surg, 2013, 37(2): 259-284.
7. 江志伟, 李宁. 结直肠手术应用加速康复外科中国专家共识(2015 版)中华胃肠外科杂志, 2015, 35(8): 785-787.
8. Miller DM, Lavelle M. A streamlined pharynx airway liner: a pilot study in 22 patients in controlled and spontaneous ventilation. Anesth Analg, 2002, 94(3): 759-761; table of contents.
9. 徐锐, 庄文. 肠内生态免疫营养在结直肠癌围手术期的应用. 中国普外基础与临床杂志, 2014, 21(7): 921-924.
10. 吴国豪. 营养支持在肿瘤治疗中的作用. 中华普通外科杂志, 2007, 22(9): 720-723.
11. Tosun B, Yava A, Açıkel C. Evaluating the effects of preoperative fasting and fluid limitation. Int J Nurs Pract, 2015, 21(2): 156-165.
12. Klemetti S, Kinnunen I, Suominen T, et al. The effect of preoperative fasting on postoperative thirst, hunger and oral intake in paediatric ambulatory tonsillectomy. J Clin Nurs, 2010, 19(3/4): 341-350.
13. 李辰, 韩柏. 焦虑症在 microRNAs 水平的研究进展. 中华临床医师杂志: 电子版, 2015, 9(24): 4690-4693.
14. Kindler CH, Harms C, Amsler F, et al. The visual analog scale allows effective measurement of preoperative anxiety and detection of patients’ anesthetic concerns. Anesth Analg, 2000, 90(3): 706-712.
15. Itou K, Fukuyama T, Sasabuchi Y, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. J Anesth, 2012, 26(1): 20-27.
16. 朱大年. 生理学. 北京: 人民卫生出版社, 2008: 180.
17. de Aguilar-Nascimento JE, Dock-Nascimento DB. Reducing preoperative fasting time: a trend based on evidence. World J Gastrointest Surg, 2010, 2(3): 57-60.
18. Lauwick SM, Kaba A, Maweja S, et al. Effects of oral preoperative carbohydrate on early postoperative outcome after thyroidectomy. Acta Anaesthesiol Belg, 2009, 60(2): 67-73.
19. Yilmaz N, Cekmen N, Bilgin F, et al. Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting. J Res Med Sci, 2013, 18(10): 827-832.
20. Yagmurdur H, Gunal S, Yildiz H, et al. The effects of carbohydrate-rich drink on perioperative discomfort, insulin response and arterial pressure in spinal aesthesia. J Res Med Sci, 2011, 16(11): 1483-1489.

Previous Article
协同创新在加速康复外科围手术期管理中的应用进展
Next Article
The application of enhanced recovery after surgery in pain management after total knee arthroplasty

West China Medical Journal

The effect of shortening the time of preoperative fasting and fluid limitation on lumber disc herniation patients undergoing minimally invasive surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content