this is kind of old, but i just came across it. what do you think? do any canadian nurses have experience with the lemonade?
fasting before surgery
one of the unpleasant aspects of my son's operation was not allowing him to eat or drink after midnight the night before surgery. he was too young to understand - especially when the surgery start time was delayed. the practice of fasting was begun to prevent vomiting with the anesthesia. while surgery and anesthesia have both changed since, this practice hasn't. a study presented at the 21st annual conference of the european society of parenteral and enteral nutrition (espen) in 1999, suggests that not only are there no increased complications from feeding before surgery, but that those who do get a carbohydrate beverage feel better and recover more quickly! this is consistent with experience in canada, where some physicians have been giving lemonade before surgery for ten years. another benefit of nutrition! wouldn't it be wonderful if further research confirms these findings, and the traditional "nothing by mouth" becomes a thing of the past!
alan greene md faap
september 13, 1999
Dec 23, '04
Quote from lsyorke
When my son had multiple surgeries(age 1-3) in the late 80's the anesthesiologists rule was NPO for 4 hours before. Never had a problem. I've been a nurse for 20 years and can honestly say that I've never heard of a patient vomiting in the OR during intubation.
Pediatric NPO rules are a little 'smaller' than adults. Kids, (especially younger ones) can't go as long without eating, so the amount of time required to fast is less.
When a patient vomits during intubation, it may not always be visible. The gastric contents may simply come up the esophagus and go straight back down into the lungs. However, the reason it doesn't happen as often is because the anesthesia providers take precautions against it, including rapid sequence inductions, etc.
Last edit by heartICU on Dec 23, '04