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：

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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.	李樂之, 路潛. 外科護理學. 北京: 人民衛生出版社, 2012: 91-98.
3.	蔣俊梅. 縮短骨科擇期手術患者術前禁食禁水時間的研究. 現代中西醫結合雜志, 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.	江志偉, 李寧. 結直腸手術應用加速康復外科中國專家共識(2015 版)中華胃腸外科雜志, 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.	徐銳, 莊文. 腸內生態免疫營養在結直腸癌圍手術期的應用. 中國普外基礎與臨床雜志, 2014, 21(7): 921-924.
10.	吳國豪. 營養支持在腫瘤治療中的作用. 中華普通外科雜志, 2007, 22(9): 720-723.
11.	Tosun B, Yava A, A??kel 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, 韓柏. 焦慮癥在 microRNAs 水平的研究進展. 中華臨床醫師雜志: 電子版, 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. 生理學. 北京: 人民衛生出版社, 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. 李樂之, 路潛. 外科護理學. 北京: 人民衛生出版社, 2012: 91-98.
3. 蔣俊梅. 縮短骨科擇期手術患者術前禁食禁水時間的研究. 現代中西醫結合雜志, 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. 江志偉, 李寧. 結直腸手術應用加速康復外科中國專家共識(2015 版)中華胃腸外科雜志, 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. 徐銳, 莊文. 腸內生態免疫營養在結直腸癌圍手術期的應用. 中國普外基礎與臨床雜志, 2014, 21(7): 921-924.
10. 吳國豪. 營養支持在腫瘤治療中的作用. 中華普通外科雜志, 2007, 22(9): 720-723.
11. Tosun B, Yava A, A??kel 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, 韓柏. 焦慮癥在 microRNAs 水平的研究進展. 中華臨床醫師雜志: 電子版, 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. 生理學. 北京: 人民衛生出版社, 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.

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

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