Pre-operative fasting - a patient centered approach

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Pre-operative fasting - a patient centered approach

Prolonged pre-operative fasting can be an unpleasant experience and result in serious medical complications. The Royal College of Nursing guidelines state a minimum fasting period of six hours for food and two hours for clear fluids, prior to elective anaesthesia or sedation in healthy patients. We audited the Moorfields South Pre-operative Assessment Unit fasting instruction policy to ensure i...

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Pre-operative fasting guidelines: an update.

Liberal pre-operative fasting routines have been implemented in most countries. In general, clear fluids are allowed up to 2 h before anaesthesia, and light meals up to 6 h. The same recommendations apply for children and pregnant women not in labour. In children <6 months, most recommendations now allow breast- or formula milk feeding up to 4 h before anaesthesia. Recently, the concept of pre-...

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Pre-operative fasting for elective surgical patients.

AIM To explore the knowledge, past experience, perceptions and opinions of nurses working in surgical units at a local hospital with regard to pre-operative fasting times. METHOD A qualitative research design, using a grounded theory approach, was adopted. Semi-structured interviews were undertaken with a sample of 15 staff nurses employed within five surgical units in one hospital. FINDING...

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Patient-centered care with the Patient Rights Charter approach: A qualitative study

  Introduction Patient-centered care is one of the major priorities of the health system to improve patient safety and satisfaction, but in many cases it is not provided in accordance with the Patient Rights Charter. Therefore, the present study aimed to design a patient-centered model of care with the approach of the Charter of Patient Rights in Arbitrary Hospitals of the Ministry of Health o...

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Evaluation of gastric acid in dependence of pre-operative fasting.

Introduction It is generally accepted that fasting reduces the risk of regurgitation and aspiration of gastric contents during induction of anaesthesia and surgery. Children, like adults, are required to fast before general anaesthesia to reduce volume and acidity of their stomach contents [1]. Fasting while waiting for surgery can be a stressful event for the children and their parents. To be ...

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ژورنال

عنوان ژورنال: BMJ Quality Improvement Reports

سال: 2014

ISSN: 2050-1315

DOI: 10.1136/bmjquality.u605.w1252