Yimer Aragaw Hamza, Haddis Lidya, Abrar Meron, Seid Ahmed Muhye
Department of Anesthesia, College of Medicine and Health Science, Dire Dawa University, Dire Dawa, Ethiopia.
Department of Anesthesia, School of Medicine, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Ann Med Surg (Lond). 2022 May 21;78:103813. doi: 10.1016/j.amsu.2022.103813. eCollection 2022 Jun.
Fasting before anesthesia is mandatory in children to reduce the complications of regurgitation, vomiting, and aspiration during anesthesia and surgery. Prolonged fasting times have several negative implications in children, because high fluid turnover quickly leads to dehydration, hypotension, metabolic disturbances, and hypoglycemia, resulting in poor anesthetic outcomes.
This study aimed to assess adherence to preoperative fasting guidelines and associated factors among pediatric patients undergoing elective surgery in Addis Ababa public hospitals in Ethiopia in 2020.
A cross-sectional survey was conducted in Addis Ababa, which selected public hospitals in Ethiopia, in 2020. A total of 279 pediatric patients aged <17 years scheduled for elective surgery were included in the study. Data analysis was performed using SPSS V.21, and the values of the variables and factors were checked for associations using logistic regression. Statistical significance was determined at P -value of <0.05. The results are presented in text, tables, charts, and graphs.
A total of 279 pediatric patients responded to the analysis, with a 98.6% response rate. The majority of the participants (n = 251, 89.96%) did not follow the guidelines for preoperative fasting. The mean fasting time for clear liquids was 10 ± 4.03 (2-18 h) for breast milk 7.18 ± 2.26 (3.5-12 h), and for solid foods 13.5 ± 2.76 (8-19 h). The reasons for which the preoperative fasting delay was due to incorrect order were 35.1%, prior case procedures took longer times 34.1%, and changing sequence of schedule was 20.8%.
Most children had prolonged fasting. The staff's instructions and schedules were challenged to follow international fasting guidelines.
儿童麻醉前禁食是必要的，以减少麻醉和手术期间反流、呕吐和误吸的并发症。长时间禁食对儿童有诸多负面影响，因为高液体周转率会迅速导致脱水、低血压、代谢紊乱和低血糖，从而导致不良的麻醉结果。
本研究旨在评估2020年埃塞俄比亚亚的斯亚贝巴公立医院择期手术患儿对术前禁食指南的遵循情况及相关因素。
2020年在埃塞俄比亚亚的斯亚贝巴进行了一项横断面调查，选取了当地的公立医院。共有279名年龄<17岁的择期手术患儿纳入研究。使用SPSS V.21进行数据分析，并通过逻辑回归检查变量和因素的值之间的关联。以<0.05的P值确定统计学显著性。结果以文字、表格、图表和图形呈现。
共有279名儿科患者参与分析，应答率为98.6%。大多数参与者（n = 251，89.96%）未遵循术前禁食指南。清液的平均禁食时间为10±4.03（2 - 18小时），母乳为7.18±2.26（3.5 - 12小时），固体食物为13.5±2.76（8 - 19小时）。术前禁食延迟的原因中，医嘱错误占35.1%，先前病例程序耗时较长占34.1%，日程安排顺序改变占20.8%。
大多数儿童禁食时间延长。工作人员的指示和日程安排在遵循国际禁食指南方面面临挑战。
