ASSESSMENT OF KNOWLEDGE, ATTITUDE AND PRACTICES OF PREOPERATIVE FASTING AMONG ANAESTHESIOLOGISTS OF HOSPITALS IN GHAZIABAD: A CROSS-SECTIONAL STUDY
Abstract
Background: The risk of pulmonary aspiration can be reduced by pre-operative fasting. The leading societies of anaesthesia have adopted more liberal fasting guidelines to avoid the adverse effect of prolonged fasting. This study was aimed to assess knowledge, attitude and practices of pre-operative fasting among anaesthesiologists of hospitals in Ghaziabad: A cross-sectional study. Materials and Methods: A cross-sectional study was conducted on anaesthesiologists of private hospitals in Ghaziabad. Questionnaire consisted of 11 questions was sent through email to anaesthesiologists. 238 questionnaires were finally included in the study. The standard of assessment was practice guidelines regarding pre-operative fasting given by American Society of Anaesthesiologists (ASA). Data analysis was done by using SPSS version 20.
Results: 47.9% participants were having less than 5 years of experience, 36.1% were having 5-10 years of experience and 16% participants were having more than 10 years of experience. 24.4 % responded that anaesthesiologists and surgeon informed patients about fasting a day before surgery in their hospitals. Conclusions: ASA guidelines regarding pre-operative fasting was followed by majority of anaesthesiologists. Organization of educational programmes and regular audits are required.
Keywords
Full Text:
PDFReferences
Aguilar JE, Dock DB. Reducing preoperative fasting time. World Journal of Gastrointestinal Surgery. 2010; 2(3): 57–60.
Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecel. 1946; 52: 191–205.
Brady MC, Kinn S, Ness V, O’Rourke K, Randhawa N, Stuart P. Preoperative fasting for preventing perioperative complications in children: review. Cochrane Libr.CD005285.
Soreide E, Eriksson IL, Hirlekar G. Pre-operative fasting guidelines: an update. Acta Anaesthesiol Scand. 2005; 49: 1041–47.
Bilehjani E, Fakhari S, Yavari S, Panahi J, Afhami M, Nagipour B. Adjustment of preoperative fasting guidelines for adult patients undergoing elective surgery. Open J Intern Med. 2015; 5: 115–8.
Bopp C, Hofer S, Klein A, Weigand MA, Martin E, Gust R. A liberal preoperative fasting regimen improves patient comfort and satisfaction with anaesthesia care in day-stay minor surgery. Minerva Anaesthesiol. 2009; 75: 1–7.
Jayasinghe V, Mahesh PK, Sooriaarachchi CM, Jayalath J, Karunarathne W, Liyanage SN. Evaluation of the effect of pre-operative over-fasting on post-operative vomiting in children undergoing bone marrow aspiration at a tertiary care center in Sri Lanka: A prospective cohort study. Indian J Anaesth. 2018; 62: 366–70.
American Society of Anaesthesiologists Task Force on Preoperative Fasting. Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures. Anesthesiology. 1999; 90: 896–905.
Practice Guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to healthy patients undergoing elective procedures: An updated report by the American Society of Anaesthesiologists Task force on preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration. Anesthesiology. 2017; 126: 376–93.
Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Soreide E. Perioperative fasting in adults and children: Guidelines from the European society of anaesthesiology. Eur J Anaesthesiol. 2011; 28: 556–69.
Perioperative fasting in adults and children- a RCN guideline for the multidisciplinary team. Clinical Practice Guidelines. RCN Publications. 2005
Johnson RE, Eckert PP, Gilmore W, Viswanath A, Finkelman M, Rosenberg MB. Most American Association of Oral and Maxillofacial Surgeons members have not adopted the American Society of Anaesthesiologists-recommended Nil Per Os guidelines. Journal of Oral and Maxillofacial Surgery. 2016; 74(10): 1926–31.
Ingadottir B, Olafsdottir AM, Sveinsdottir H. Preoperative fasting:instructions to patients and length of fasting—a prospective, descriptive survey. Laeknabladid. 2016; 102(6): 283–88.
Al Maqbali MA. Preoperative fasting for elective surgery in a regional hospital in Oman. British Journal of Nursing. 2016; 25(14): 798–802.
Shime N, Ono A, Chihara E, Tanaka Y. Current practice of preoperative fasting: A nationwide survey in Japanese anesthesia-teaching hospitals. J Anesth. 2005; 19: 187–92.
Salman OH, Asida SM, Ali HS. Current knowledge, practice and attitude of preoperative fasting: A limited survey among Upper Egypt anaesthetists. Egypt J Anaesth. 2013; 29: 125–30.
Breuer JP, Bosse G, Seifert S, Prochnow L, Martin J, Schleppers A. Pre-operative fasting: Anationwide survey of German anaesthesia departments. ActaAnaesthesiolScand. 2010; 54: 313–20.
McGaw CD, Ehikhametalor E, Nelson M, Soogrim D. A national survey on preoperative fasting policies and practices in Jamaican hospitals. West Indian Med J. 2004; 53: 227–33.
Pratibha Panjiar, Anjali Kochhar, Homay Vajifdar, Kharat Bhat. A prospective survey on knowledge, attitude and current practices of pre-operative fasting amongst anaesthesiologists: A nationwide survey. Indian J Anaesth. 2019 May; 63(5): 350–55.
Gunawardhana SA. Knowledge, attitude and practice of preoperative fasting guidelines in the National hospital of Sri Lanka. Sri Lankan J Anaesthesiol. 2012; 20: 92–5.
Crenshaw TJ, Winslow HE. Preoperative fasting duration and medication instruction: are we improving? AORN J. 2008; 88(6): 963–76.
Power S, Kavanagh OD, McConnell G, Cronin K, Corish C, Leonard M, Crean A, Feehan S, Eguare E, Neary P, Connolly J. Reducing preoperative fasting in elective adult surgical patients: a case control study. Ir J Med Sci. 2012; 181: 99–104.
Murphy GS, Ault ML, Wong HY, Szokol JW. The effect of a new NPO policy on operating room utilization. J ClinAnesth. 2000; 12: 48–51.
Arun BG, Korula G. Preoperative fasting in children: An audit and its implications in a tertiary care hospital. J Anaesthesiol Clin Pharmacol. 2013; 29: 88–91.
Alvi NI. A prospective, cross- sectional survey of pre-operative fasting of pediatricsurgical patients in a university hospital. Anaesth PainIntensive Care. 2016; 20: 171–75.
Brady MC, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev. 2003; 4: CD004423.
Frykholm P, Schindler E, Sumpelmann R, Walker R, Weiss M. Preoperative fasting in children: Review of existing guidelines and recent developments. Br J Anaesth. 2017; 120: 469–74.
Refbacks
- There are currently no refbacks.