How 'nil by mouth' instructions impact on patient behaviour

Area of Science:

• Anesthesiology
• Surgical Care
• Patient Safety

Background:

• Preoperative fasting is crucial to prevent aspiration under anesthesia.
• Many patients extend fasting beyond recommended guidelines despite clear instructions.
• This non-adherence poses risks and impacts patient experience.

Purpose of the Study:

• To identify strategies for improving patient adherence to preoperative fasting protocols.
• To enhance patient understanding and comfort during the fasting period.
• To reduce unnecessary prolonged fasting in surgical patients.

Main Methods:

• Review of current preoperative fasting guidelines and patient compliance data.
• Analysis of factors contributing to prolonged patient-initiated fasting.
• Development of enhanced patient communication strategies regarding oral intake.

Main Results:

• Patients often fast longer due to anxiety or misunderstanding of instructions.
• Reassurance about maintaining oral intake until instructed to stop is key.
• Providing information on oral comfort and post-procedure refeeding improves compliance.

Conclusions:

• Improved patient education and reassurance are vital for optimizing preoperative fasting.
• Addressing patient concerns about oral intake can enhance adherence to guidelines.
• Clear communication strategies can lead to safer and more comfortable surgical experiences.