Department of Anaesthesia and Intensive Care, University hospital of Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; Faculty of Medicine and Pharmacy, Poitiers University, 86000 Poitiers, France; Inserm U1082, 86000 Poitiers, France.
Department of Anaesthesia and Intensive Care, University hospital of Poitiers, 2, rue de la Milétrie, 86000 Poitiers, France; Faculty of Medicine and Pharmacy, Poitiers University, 86000 Poitiers, France; Inserm U1070, 86000 Poitiers, France.
Anaesth Crit Care Pain Med. 2018 Jun;37(3):245-250. doi: 10.1016/j.accpm.2017.11.012. Epub 2017 Dec 9.
Preoperative fasting is well codified worldwide. In contrast, the literature on the postoperative fasting (POF) is scarce, leading to potentially wide discrepancies among anaesthesiology practices. This survey assessed French POF practices.
From March 2013 to January 2014, a survey was conducted among anaesthesiologists, members of the French Society of Anaesthesiology and Intensive Care Medicine (SFAR). The POF durations of either fluid or solid food intake was assessed according to airway management procedures (endotracheal intubation [EI] or laryngeal mask [LMA]) and age of the patients (adult or paediatric).
Seven hundred and fifty-four surveys were returned (67% from public hospital practitioners and 33% from private hospital and clinic practitioners). The majority of anaesthesiologists allowed fluid intake 2h after EI and immediately after discharge from PACU following LMA. For solid food resumption, it was 2h for children and 4h for adults after EI and 2h for both children and adults after LMA. Regardless of the airway management procedures, fasting was permitted immediately after PACU discharge more frequently in public than in private hospitals (36% vs. 33%, P<0.05). Four hours after the end of surgery, the rate was significantly higher in private than in public hospitals (93% vs. 89 %, P<0.001).
All in all, POF lasted less than 4hours after surgery regardless of airway management. They were shorter with regard to fluid intake, paediatric patients and LMA in comparison with solid food, adult patients and EI respectively.
术前禁食在全球范围内都有明确的规定。相比之下，术后禁食（POF）的相关文献却很少，导致麻醉学实践中可能存在很大差异。本调查评估了法国的 POF 实践。
2013 年 3 月至 2014 年 1 月，对法国麻醉学会和重症监护医学学会（SFAR）的麻醉师进行了一项调查。根据气道管理程序（气管插管[EI]或喉罩[LMA]）和患者年龄（成人或儿科）评估液体或固体食物摄入的 POF 持续时间。
共收回 754 份调查问卷（67%来自公立医院从业者，33%来自私立医院和诊所从业者）。大多数麻醉师允许 EI 后 2 小时和 LMA 后 PACU 出院后立即摄入液体。对于固体食物的恢复，EI 后儿童为 2 小时，成人为 4 小时，LMA 后儿童和成人均为 2 小时。无论气道管理程序如何，在 PACU 出院后，公立医院允许禁食的频率高于私立医院（36%比 33%，P<0.05）。手术后 4 小时，私立医院的禁食率明显高于公立医院（93%比 89%，P<0.001）。
总的来说，无论气道管理如何，POF 持续时间都不到 4 小时。与固体食物相比，液体摄入、儿科患者和 LMA 以及成人患者和 EI 分别使 POF 持续时间更短。
