Postoperative nausea and vomiting after unrestricted clear fluids before day surgery: A retrospective analysis

@article{McCracken2018PostoperativeNA,
  title={Postoperative nausea and vomiting after unrestricted clear fluids before day surgery: A retrospective analysis},
  author={Graham C McCracken and J. E. Montgomery},
  journal={European Journal of Anaesthesiology},
  year={2018},
  volume={35},
  pages={337–342}
}
BACKGROUND Guidance on pre-operative fluids fasting policy continues to evolve. Current European guidelines encourage the intake of oral fluids up to 2 h before the induction of general anaesthesia. From October 2014, Torbay Hospital Day Surgery Unit commenced an unrestricted fluid policy, encouraging patients to drink clear fluids up until the time of transfer to theatre. OBJECTIVE The aim of this study was to assess the incidence of postoperative nausea and vomiting before and after the… Expand
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References

SHOWING 1-10 OF 13 REFERENCES
Oral fluids prior to day surgery
TLDR
Pain, nausea and headache scores are low following total intravenous anaesthesia with propofol and alfentanil for termination of pregnancy and these were unaffected by the administration of 150 ml of clear fluid given approximately 1.5 hours pre-operatively. Expand
Preoperative fasting for adults to prevent perioperative complications.
TLDR
There was no evidence to suggest a shortened fluid fast results in an increased risk of aspiration, regurgitation or related morbidity compared with the standard 'nil by mouth from midnight' fasting policy and clinicians should be encouraged to appraise this evidence for themselves. Expand
Nausea and vomiting after surgery
TLDR
While suture dehiscence, aspiration of gastric contents, oesophageal rupture, and other serious complications associated with PONV are rare, nausea and vomiting is still an unpleasant and all-too-common postoperative morbidity that can delay patient discharge from the post-anaesthesia care unit and increase unanticipated hospital admissions in outpatients. Expand
Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology.
TLDR
The key recommendations are that adults and children should be encouraged to drink clear fluids up to 2 h before elective surgery (including caesarean section) and all but one member of the guidelines group consider that tea or coffee with milk added (up to about one fifth of the total volume) are still clear fluids. Expand
The effect of pre‐operative oral fluids on morbidity following anaesthesia for minor surgery
TLDR
Although there was only a moderate improvement in postoperative recovery, it is felt that allowing patients to drink water pre‐operatively improves patient comfort, especially since patients may have to fast for much longer than guidelines recommend, because of the traditional organisation of operating lists. Expand
Fluid deprivation before operation. The effect of a small drink.
TLDR
Overnight fluid fasting is not justified in elective surgical patients and Morphine can be safely given one hour before surgery in patients who have received water 2 hours before operation. Expand
Clinical Significance of Pulmonary Aspiration during the Perioperative Period
TLDR
This study suggests that patients with clinically apparent aspiration who do not develop symptoms within 2 h are unlikely to have respiratory sequelae. Expand
Patient reported outcome of adult perioperative anaesthesia in the United Kingdom: a cross-sectional observational study.
TLDR
The inconsistent relationship between patient-reported outcome, patient experience and patient satisfaction supports using all three of these domains to provide a comprehensive assessment of the quality of anaesthesia care. Expand
Practical gastric physiology
TLDR
An understanding of the relevant gastric physiology can help avoid and reduce the consequences of gastric aspiration. Expand
Evidence-based analysis of risk factors for postoperative nausea and vomiting.
TLDR
The most reliable independent predictors of PONV were female gender, history of PonV or motion sickness, non-smoker, younger age, duration of anaesthesia with volatile anaesthetics, and postoperative opioids. Expand
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