Department of Anesthesiology and Critical Care, Tygerberg Academic Hospital, University of Stellenbosch, Parow, South Africa.
Paediatr Anaesth. 2022 Sep;32(9):1031-1037. doi: 10.1111/pan.14479. Epub 2022 May 20.
Preoperative fasting is part of routine practice. Children subjected to prolonged preoperative fasting often suffer adverse effects. Consuming a preoperative lollipop may lessen their anxiety and have clinical benefits.
To assess the effect of consuming a lollipop on gastric volume and the feasibility of administering a lollipop to a child preoperatively.
In this prospective, repeated measures interventional study, we measured gastric antrum volume using ultrasound in children aged 2-18 years. We measured antrum volumes after participants had fasted for a minimum of 6 h for solids and 2 h for clear fluids. They then consumed a standard carbohydrate lollipop, and we repeated the antrum volume measurements after 1 h.
Of the 38 patients enrolled, 32 completed the study; four had ingested additional food or liquid, and two were diagnosed with systemic disease the day after data collection. The gastric volume data were normally distributed. The mean volume change was 0.01 ml kg (95% CI -0.02 to 0.05; p = .460). The mean postlollipop volume was 0.51 ml kg (95% CI 0.43 to 0.58).
Consuming a standard lollipop did not affect the gastric volume of fasted pediatric patients.
术前禁食是常规做法的一部分。长时间接受术前禁食的儿童常常会遭受不良影响。食用术前棒棒糖可能会减轻他们的焦虑并具有临床益处。
评估食用棒棒糖对胃容量的影响，并评估术前给儿童喂食棒棒糖的可行性。
在这项前瞻性、重复测量干预研究中，我们使用超声测量了 2-18 岁儿童的胃窦体积。参与者禁食至少 6 小时固体食物和 2 小时透明液体后，测量胃窦体积。然后他们食用标准的碳水化合物棒棒糖，并在 1 小时后重复测量胃窦体积。
在纳入的 38 名患者中，有 32 名完成了研究；4 名患者摄入了额外的食物或液体，2 名患者在数据收集后的第二天被诊断为全身性疾病。胃容量数据呈正态分布。平均体积变化为 0.01ml/kg（95%CI-0.02 至 0.05；p=0.460）。棒棒糖后的平均胃容量为 0.51ml/kg（95%CI0.43 至 0.58）。
食用标准棒棒糖不会影响禁食的儿科患者的胃容量。
