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[Preoperative fasting times: patients' perspective].

L Furrer1, M T Ganter, R Klaghofer

  • 1Institut für Anästhesiologie und Intensivmedizin, Stadtspital Triemli, Birmensdorferstrasse 497, 8063 Zürich.

Der Anaesthesist
|February 28, 2006
PubMed
Summary

Patients experience significant discomfort from traditional preoperative fasting. Liberalizing these rules and reducing anxiety could improve patient well-being and the quality of care.

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Area of Science:

  • Anesthesiology
  • Patient Care

Context:

  • Traditional preoperative fasting guidelines aim to improve patient safety.
  • Patient comfort and well-being are crucial aspects of perioperative care.
  • The impact of preoperative thirst and hunger on patient discomfort is not fully understood.

Purpose:

  • To determine the impact of traditional preoperative fasting regimens on patient discomfort.
  • To assess patient-reported levels of thirst and hunger.
  • To identify patient preferences regarding preoperative fluid and food intake.

Summary:

  • A survey of 412 patients (American Society of Anesthesiologists ASA I-II) undergoing minor elective surgery revealed significant preoperative thirst (33%) and hunger (19%).
  • Many patients desired to drink (47%) or have a light breakfast (72%) before surgery.

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  • While thirst and hunger were reported, 'long wait,' 'tenseness,' and 'anxiety' were more frequently cited as primary sources of discomfort, independent of fasting duration.

    • Impact:

    • Current preoperative fasting policies compromise patient comfort.
    • Patients desire liberalization of fasting rules.
    • Reducing preoperative anxiety and tenseness offers a significant opportunity to enhance perioperative quality of care.