Department of Anesthesiology, Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region, No. 225 Xinyang Road, Nanning, 530003, China.
Department of Anesthesiology, the First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning, 530021, China.
BMC Anesthesiol. 2024 Jul 10;24(1):231. doi: 10.1186/s12871-024-02615-5.
Patients who are recovering from general anesthesia commonly exhibit symptoms such as dry lips, throat irritation, and thirst, prompting a desire to drink water in the post-anesthesia care unit (PACU). In this study, we aimed to evaluate the therapeutic effects and any potential complications of administering varying quantities of water to such patients. The primary objectives are to assess the safety and feasibility of early water intake after general anesthesia, specifically in the context of daytime surgery.
A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1-2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups.
Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05).
Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.
全麻恢复期患者常出现口干、咽喉刺激、口渴等症状，促使其在麻醉后恢复室（PACU）中渴望饮水。本研究旨在评估给予此类患者不同水量的治疗效果和任何潜在并发症。主要目标是评估全麻后早期饮水的安全性和可行性，特别是在日间手术的情况下。
共 200 例非胃肠道手术患者随机分为四组：A 组（饮水<1ml/kg）、B 组（饮水 1-2ml/kg）、C 组（饮水>2ml/kg）和 D 组（不饮水）。我们监测了饮水前后评估参数的变化，以及饮水后恶心和呕吐的发生率，并比较了四组之间的这些结果。
饮水导致口渴、口咽不适和疼痛评分显著降低，胃窦动力指数（MI）显著增加，与饮水前相比具有统计学意义（p<0.05）。值得注意的是，较高的饮水量与增强的胃肠道蠕动相关。B、C 和 A 组之间的胃窦 MI 存在显著差异（p<0.05）。A、B、C 和 D 组之间恶心和呕吐的发生率无显著差异（p>0.05）。早期饮水显著提高了患者对医疗护理的满意度，与 D 组相比差异有统计学意义（p<0.05）。
全麻后恢复的非胃肠道手术患者通过预饮水评估后，可以在 PACU 安全摄入适量的水。早期饮水既安全又可行，有效地促进了术后快速恢复。
