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Fast suggestions.

P Treacy1

  • 1Colindale, London.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
|May 26, 2016
PubMed
Summary

Patients undergoing afternoon surgery at an independent London hospital are fasted from midnight. This practice continues despite modern guidelines suggesting shorter fasting periods for elective procedures.

Area of Science:

  • Medical Practice
  • Surgical Patient Care

Background:

  • Traditional preoperative fasting protocols are still implemented in some independent hospitals.
  • Nil by mouth orders from midnight for afternoon theatre lists are common in certain settings.

Purpose of the Study:

  • To highlight the current preoperative fasting practices in an independent London hospital.
  • To examine the adherence to traditional nil by mouth policies for afternoon surgical procedures.

Main Methods:

  • Observational review of patient management in a Golders Green independent hospital.
  • Analysis of preoperative fasting protocols for patients scheduled for afternoon surgery.

Main Results:

  • Patients scheduled for afternoon surgery are subjected to nil by mouth orders starting from midnight.

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  • This fasting duration exceeds current recommendations for elective surgical patients.

    • Conclusions:

    • The hospital continues to use outdated and prolonged preoperative fasting guidelines.
    • There is a need to review and update fasting protocols to align with evidence-based practices and improve patient comfort.