PMID- 27345429
OWN - NLM
STAT- MEDLINE
DCOM- 20170309
LR  - 20170817
IS  - 1399-6576 (Electronic)
IS  - 0001-5172 (Linking)
VI  - 60
IP  - 9
DP  - 2016 Oct
TI  - Reducing pre-operative fasting while preserving operating room scheduling 
      flexibility: feasibility and impact on patient discomfort.
PG  - 1222-9
LID - 10.1111/aas.12756 [doi]
AB  - BACKGROUND: The need to preserve operating room (OR) scheduling flexibility can 
      challenge adherence to the 2-h pre-operative fasting period recommendation before 
      elective surgery. Our primary objective was to assess the feasibility of a 
      pre-operative carbohydrate (CHO) drink delivery strategy preserving OR scheduling 
      flexibility. METHODS: During the 1st study phase, patients admitted for elective 
      surgery fasted overnight (Control group); during the 2nd phase, patients fasted 
      overnight and received a pre-operative CHO drink (CHO group). CHO delivery time 
      was set to allow any patient to be ready for surgery 30 min ahead of the 
      scheduled time and any patient with an operation scheduled in the afternoon to be 
      ready at 13:00 hours; patients admitted the morning of an early morning operation 
      would not be allowed to take a CHO drink. RESULTS: We included 194 patients in 
      the Control group and 199 in the CHO group. In the CHO group, the morning CHO 
      dose was delivered to 66.3% of the patients (95% CI 59.3-72.9%), with a median 
      pre-operative fasting time period of 4 h 57 min. After excluding patients 
      admitted the morning of an operation scheduled before 10:00 hours, the delivery 
      rate was 77.2% (70.2-83.3%). Patients in the CHO group experienced significantly 
      less pre-operative thirst (median 2 vs. 5 on a 0-10 scale, P < 0.0001) and hunger 
      (0 vs. 2, P < 0.0001) than those in the Control group. CONCLUSION: Although 
      preservation of OR scheduling flexibility resulted in a longer fasting time than 
      recommended, CHO drink can be made available to a large proportion of patients 
      with significantly reduced perioperative discomfort.
CI  - (c) 2016 The Acta Anaesthesiologica Scandinavica Foundation. Published by John 
      Wiley & Sons Ltd.
FAU - De Jonghe, B
AU  - De Jonghe B
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Fajardy, A
AU  - Fajardy A
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Merian-Brosse, L
AU  - Merian-Brosse L
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Fauconnier, A
AU  - Fauconnier A
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Chouillard, E
AU  - Chouillard E
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Debit, N
AU  - Debit N
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Solus, H
AU  - Solus H
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Tabary, N
AU  - Tabary N
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Seguier, J-C
AU  - Seguier JC
AD  - Centre Hospitalier de Poissy-Saint-Germain, Poissy, France.
FAU - Melchior, J-C
AU  - Melchior JC
AD  - Hopital Raymond Poincare, APHP, Garches, France.
AD  - Faculte de Medecine PIFO, Versailles, France.
LA  - eng
PT  - Journal Article
DEP - 20160626
PL  - England
TA  - Acta Anaesthesiol Scand
JT  - Acta anaesthesiologica Scandinavica
JID - 0370270
SB  - IM
MH  - Adult
MH  - Aged
MH  - Drinking
MH  - *Elective Surgical Procedures
MH  - *Fasting
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Operating Rooms
MH  - Personnel Staffing and Scheduling
MH  - *Preoperative Care
MH  - Time Factors
EDAT- 2016/06/28 06:00
MHDA- 2017/03/10 06:00
CRDT- 2016/06/28 06:00
PHST- 2016/02/16 00:00 [received]
PHST- 2016/04/12 00:00 [revised]
PHST- 2016/05/09 00:00 [accepted]
PHST- 2016/06/28 06:00 [entrez]
PHST- 2016/06/28 06:00 [pubmed]
PHST- 2017/03/10 06:00 [medline]
AID - 10.1111/aas.12756 [doi]
PST - ppublish
SO  - Acta Anaesthesiol Scand. 2016 Oct;60(9):1222-9. doi: 10.1111/aas.12756. Epub 2016 
      Jun 26.