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Effect of fasting time before anesthesia on postoperative complications in children undergoing adenotonsillectomy

Yonghao Huang1, Junhu Tai2, Yongshan Nan1

  • 1Department of Anesthesiology, Yanbian University Hospital, Yanji, PR China.

Ear, Nose, & Throat Journal
|February 18, 2022
PubMed

Insights

Prolonged preoperative fasting in children undergoing adenotonsillectomy is linked to increased postoperative vomiting and pain. This extended fasting also correlates with longer hospital stays for pediatric patients.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Outcomes Research
  • Otolaryngology

Background:

  • Pediatric fasting guidelines before anesthesia are often difficult to adhere to.
  • Prolonged fasting in children can lead to dehydration and hypoglycemia.
  • Adenotonsillectomy is a common pediatric surgery with potential complications.

Purpose of the Study:

  • To investigate the association between preoperative fasting duration and postoperative complications.
  • To analyze the impact of fasting time on hospital stay in pediatric patients undergoing adenotonsillectomy.

Main Methods:

  • Retrospective analysis of medical and surgical records for 480 pediatric patients.
  • Patients categorized into adenoidectomy, tonsillectomy, and adenotonsillectomy groups.
  • Logistic regression used to assess the effect of fasting time on outcomes.

Main Results:

  • Fasting time positively correlated with postoperative vomiting and pain across all surgical groups.
  • Postoperative hospital stay showed a positive correlation with fasting duration.
  • Adenoidectomy group had a lower postoperative bleeding rate compared to tonsillectomy and adenotonsillectomy groups.

Conclusions:

  • Extended preoperative fasting in children undergoing otolaryngology surgery is associated with increased postoperative complications.
  • Prolonged fasting contributes to higher rates of vomiting and pain.
  • Longer fasting times are linked to extended hospital stays post-surgery.
Abstract

Keywords:
Pediatricadenotonsillectomyanesthesiologycomplicationsfasting

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