Author's contribution to the paper
Evaluating the effects of preoperative fasting and fluid limitation
Article first published online: 28 FEB 2014
© 2014 Wiley Publishing Asia Pty Ltd
International Journal of Nursing Practice
Volume 21, Issue 2, pages 156–165, April 2015
How to Cite
Tosun, B., Yava, A. and Açıkel, C. (2015), Evaluating the effects of preoperative fasting and fluid limitation. International Journal of Nursing Practice, 21: 156–165. doi: 10.1111/ijn.12239
All of the authors have contributed to the study on conception and design, data collection, analysis and interpretation of data, drafting the article, revising it critically for important intellectual content, and final approval of the version to be published. Betül Tosun, Ayla Yava and Cengizhan Açıkel are in agreement with the content of the manuscript.
The protocol for the research project has been approved by the Ethics Committee of Gulhane Military Medical Academy within which the work was undertaken, and it conforms to the provisions of the Declaration of Helsinki in 1995 (as revised in Edinburgh 2000). Ethical Council Approval Number: 1491-1250-11/1539.
Informed consent and anonymity
All the subjects/participants were enrolled in the study after informed consent and the participant anonymity was preserved.
This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.
- Issue published online: 9 APR 2015
- Article first published online: 28 FEB 2014
- Manuscript Accepted: MAY 2013
- oral intake limitation;
- preoperative fasting;
The aim of the study was to evaluate the effects of preoperative fasting and fluid limitation in patients undergoing laparoscopic cholecystectomy. Although traditional long-term fasting is not recommended in current preoperative guidelines, this is still a common intervention. Visual analogue scale was used to assess hunger, thirst, sleepiness, exhaustion, nausea and pain; State and Trait Anxiety Inventory was used to assess the preoperative anxiety of 99 patients undergoing elective laparoscopic cholecystectomy. Mean time of preoperative fasting and fluid limitation were, respectively, 14.70 ± 3.14 and 11.25 ± 3.74 h. Preoperatively, 58.60% of the patients experienced moderate anxiety. Patients fasting 12 h or longer had higher hunger, thirst, nausea and pain scores. The mean trait anxiety score of patients fasting 12 h or longer was statistically significantly higher. Receiving nothing by mouth after midnight preoperatively is a persisted intervention and results in discomfort of patients. Clinical protocols should be revised and nurses should be trained in current fasting protocols.