| Título: | Knowledge, attitudes and practice of preoperative fasting guidelines in the National Hospital of Sri Lanka |
| Autores: | Gunawardhana, Amila Irantha; National Hospital of Sri Lanka |
| Fecha: | 2012-07-11 |
| Publicador: | Sri Lankan journal of Anaesthesiology |
| Fuente: |
 |
| Tipo: |
info:eu-repo/semantics/article Peer-Reviewed Item info:eu-repo/semantics/publishedVersion |
| Tema: |
Anaesthesiology preoperative fasting; knowledge; practice |
| Descripción: | BackgroundRecent guidelines on preoperative fasting recommend 2 hours for clear fluids and 6 hours for solids in most elective surgical patients1,2. Despite this contemporary practice varies widely across the country. This study evaluates the knowledge, current practices and compliance with guidelines. MethodThis was a cross-sectional study. Data was obtained from patients attending for elective surgeries in NHSL during July 2010 and from junior anaesthetists, intern medical officers (IMO) and nurses of surgical wards. ASA practice guideline was the standard of assessment. Results235 patients and 118 healthcare workers were included. The mean duration of fasting was 13.86 hours (range 8 – 18) for solids and 12.68 hours for liquids (4 – 18). All junior anaesthetists and 64.3% of IMOs had above satisfactory level of knowledge. Nurses had below satisfactory knowledge. Only 58.3% of anaesthetists and none of the nurses or IMOs have adhered to guidelines. 81% patients stated that they would refuse a meal at 2 am but 66% would have appreciated a cup of tea 2 hours before surgery. ConclusionPatients undergoing routine surgery fast for unnecessarily long periods. Failure of implementation of guidelines is mainly due to inadequate knowledge and poor attitude among ward staff. More pragmatic approach is needed to assure that fasting instructions are consistent with the ASA guidelines and that patients understand and comply with these directives. DOI: http://dx.doi.org/10.4038/slja.v20i2.4259Sri Lankan Journal of Anaesthesiology.2012:20(2):92-95 |
| Idioma: | Inglés |
1 A National Resuscitation Council por Hapuarachchi, Shirani; Consultant Anaesthetist , Neuro Surgical Department, The National Hospital of Sri Lanka | 6 Surviving severe sepsis – early recognition and treatment por Khan, Fazal Hameed; Professor, Department of Anaesthesia, Akuh, Karachi |
2 Theatre efficiency por Abayadeera, Anuja; Senior Lecturer in Anaesthesiology Faculty of Medicine, University of Colombo | 7 Stabilization and transport of head injured por Kularatne, Manjula; Consultant Anaesthetist, Teaching Hospital Colombo South |
3 Use of phenylephrine as vasopressor of choice to prevent hypotension following spinal anaesthesia in LSCS por Pinto, V; Consultant Anaesthetist, Senior lecturer, Department of Anesthesiology, Faculty of Medicine, University of Peradeniya,Jaysundara, NS; Temporary Lecturers, Department of Anesthesiology, Faculty of Medicine University of Peradeniya,Abeysundara, AB; Registrar in Anesthesiology, General Hospital Kandy,Ekanayake, SU; Temporary Lecturers, Department of Anesthesiology, Faculty of Medicine University of Peradeniya, Sri Lanka | 8 Quality assurance in critical care por Hoda, Muhammad Qamarul; Professor, Department of Anaesthesia, Aga Khan University, Karachi |
4 Fainting attacks on the dental chair: "functional" or RAS? por Nageswaran, H; Foundation Year 2, Luton and Dunstable Foundation Trust, Lewsey Road, Luton, UK,Peiris, T Malathie; Consultant Anaesthetist, Luton and Dunstable Foundation Trust, Lewsey Road, Luton | 9 Ventilatory strategies in chronic obstructive pulmonary disease por Habaragamuwa, BWP; Senior Registrar in Anaesthesiology, The National Hospital |
5 Critical care management of head injury – current concepts por Hoda, Muhammad Qamarul; Professor and Clinical Director ICU Aga Khan University, Karachi | 10 Haemorrhage and coagulation a practical approach por Lyons, Gordon; Consultant Obstetric Anaesthetist St James’ University Hospital, Leeds, United Kingdom |