Changing preoperative fasting policies: Impact of a national consensus
Version of Record online: 31 DEC 2008
© 1998 Acta Anaesthesiol Scand
Acta Anaesthesiologica Scandinavica
Volume 42, Issue 10, pages 1188–1191, November 1998
How to Cite
Fasting, S., SØReide, E. and Ræder, J. C. (1998), Changing preoperative fasting policies: Impact of a national consensus. Acta Anaesthesiologica Scandinavica, 42: 1188–1191. doi: 10.1111/j.1399-6576.1998.tb05275.x
- Issue online: 31 DEC 2008
- Version of Record online: 31 DEC 2008
- Received 22 October 1997, accepted for publication 6 August 1998
- practice guidelines;
- preoperative care;
Background: Liberalisation of preoperative fasting rules has been discussed and recommended in the anaesthesia literature in recent years. In Norway, a national consensus on this issue was reached in 1993. The aim of the present study was to investigate whether a national consensus on fasting recommendations led to a change in fasting policies in Norwegian anaesthesia departments.
Methods: A questionnaire on preoperative fasting routines was sent to all Norwegian anaesthesia departments in 1993 and repeated in 1996.
Results: Written local guidelines for preoperative fasting were present in 85% of the institutions in both surveys. Of the hospitals, 69% had changed their local guidelines after the national consensus. In 1996 more hospitals allowed less than 6 h fasting for clear liquids in children (93% versus 71% in 1993; P<0.005). A similar tendency was noted in adults (79% versus 63% in 1993; P=0.1). In contradiction to the national guidelines, 31% of the departments reported that they allowed less than 6 h fasting after a light breakfast in the morning of surgery in 1996. The corresponding number for 1993 was 21% (ns).
Conclusion: The new, consensus-based national fasting guidelines have been associated with a change towards more liberal fasting policies in Norwegian departments of anaesthesia. However, as not all local changes were supported by the national consensus, other sources of information were used when local policies were decided.