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Fasting in paediatric ambulatory surgery.

Seija Klemetti¹, Tarja Suominen

¹University of Turku, Department of Nursing Science, Turku, Finland. seija.klemetti@utu.fi

International Journal of Nursing Practice

|January 15, 2008

Summary

Children undergoing ambulatory surgery experienced thirst and anxiety during preoperative fasting. Enhanced parental information and support are crucial for improving the perioperative experience and postoperative recovery in pediatric surgical patients.

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Area of Science:

Pediatric Surgery
Perioperative Care
Ambulatory Surgery

Background:

Preoperative fasting and postoperative feeding are critical components of pediatric ambulatory surgery.
Understanding the experiences of children and their mothers during this period is essential for optimizing care.

Purpose of the Study:

To explore the experiences of child patients and their mothers regarding preoperative fasting and postoperative feeding cessation in ambulatory surgery.
To identify challenges and successful aspects of the fasting process from the parents' perspective.

Main Methods:

Descriptive study involving qualitative interviews with mothers of children (n=12, age 2-10 years) who underwent tonsillectomy/adenoidectomy.
Inductive content analysis of interview data to identify themes related to fasting experiences.

Main Results:

Preoperatively, children experienced thirst and anxiety, with some conflicts arising from prolonged fasting. Parents expressed doubts about managing the fast.
Postoperatively, children suffered from pain, nausea, and difficulties with nutrition and medication intake. Parents worried about home care and potential complications.
A significant finding was the need for increased parental information regarding the perioperative fasting process.

Conclusions:

Enhanced preoperative information and support for parents can improve children's postoperative recovery and parental confidence.
Nurses should play a more active role in educating children and parents about perioperative fasting.
Further experimental research is needed to provide evidence-based guidelines for clinical practice in pediatric perioperative fasting.