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[Possibility of rice porridge for preoperative feeding in children]
T Kushikata1, A Matsuki, T Murakawa
1Department of Anesthesiology, University of Hirosaki School of Medicine.
Insights
Preoperative rice porridge feeding in pediatric patients did not significantly alter gastric fluid volume or pH. However, it reduced hunger, suggesting it
Area of Science:
- Pediatric Anesthesiology
- Gastroenterology
- Surgical Nutrition
Background:
- Preoperative fasting guidelines aim to minimize aspiration risk.
- Gastric emptying and pH are critical factors in preoperative management.
- Limited research exists on the impact of specific solid foods, like rice porridge, on pediatric preoperative gastric parameters.
Purpose of the Study:
- To evaluate the effect of rice porridge intake 5.5 hours before surgery on pediatric patients' preoperative gastric fluid volume, pH, and hunger.
- To assess the safety and efficacy of rice porridge as a component of preoperative feeding protocols in children.
Main Methods:
- A prospective study involving 20 healthy pediatric patients (5-12 years) undergoing elective surgery.
- Randomized allocation into two groups: a control (fasted) group and a study (rice porridge) group.
- Gastric fluid aspiration via orogastric tube after anesthesia induction to measure volume and pH.
Main Results:
- No significant differences in mean gastric fluid volume (0.43 vs. 0.5 ml/kg) or pH (1.43 vs. 1.89) between the control and rice porridge groups.
- Patients in the rice porridge group reported significantly less hunger compared to the control group.
- Clear fluids were permitted until 5 hours before anesthesia induction for both groups.
Conclusions:
- Preoperative rice porridge feeding, administered 5.5 hours before anesthesia, appears safe in pediatric patients regarding gastric volume and pH.
- Rice porridge may be a viable option for preoperative feeding in children, potentially improving comfort by reducing hunger.
- Further research is warranted to establish optimal timing and composition for preoperative feeding protocols in pediatric surgery.
Abstract:
To determine the effect of rice porridge feeding before elective surgery on preoperative gastric fluid pH, volume and starvation, a prospective study was undertaken in pediatric patients. Twenty healthy children ranged in age from 5 to 12 years were allocated randomly to either a fasted or rice porridge group. The children of fasted group (control group) were allowed to take solid food until midnight before the operation. The rice porridge group (study group) patients received a small amount of rice porridge 5 hours 30 minutes before the induction of anesthesia. The patients of both groups were permitted to take clear fluid until 5 hours before the induction of anesthesia. After the induction of anesthesia, gastric fluid was aspirated through an orogastric tube. The mean gastric fluid volume was 0.43 +/- 0.32 ml.kg-1 in the control group and 0.5 +/- 0.6 ml.kg-1 in the study group. The mean gastric fluid pH was 1.43 +/- 0.27 ml.kg-1 in the control group and 1.89 +/- 0.75 ml.kg-1 in the study group. There were no significant differences between the two groups concerning the gastric fluid volume and pH. The patient of the study group complained of less hunger. Preoperative rice porridge feeding is a possible preoperative feeding for pediatric patients.