十二个欧洲国家的术前液体禁食实践:一个前性的多中心队列研究 (第三项研究)
Anne Marie Camilleri Podesta1, Stephen Sciberras, Emanuel Moisa
1From the Department of Anaesthesia, Intensive Care and Pain Medicine, Mater Dei Hospital, Malta (AMCP); Department of Surgery, Faculty of Medicine and Surgery, University of Malta, Msida, Malta (AMCP); Department of Anaesthesia, Intensive Care and Pain Medicine, Mater Dei Hospital, Malta (SS); 3rd Department of Anesthesiology and Critical Care, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania (EM); Department of Anesthesiology and Critical Care, Elias Emergency University Hospital of Bucharest, Bucharest, Romania (EM); Department of Anaesthesia, Intensive Care and Pain Medicine, Mater Dei Hospital, Malta (LV); Department of Anaesthesia, Intensive Care and Pain Medicine, Mater Dei Hospital, Malta (SF); Department of Anaesthesia and Intensive Care Medicine, Barmherzige Brüder Hospital, Salzburg (PP); Anaesthesia Department of Nikaia General Hospital, Piraeus, Greece (PK); Vilnius University, Faculty of Medicine, Institute of Clinical medicine, Clinic of Anesthesiology and Intensive Care; Vilnius University Hospital Santaros Clinics (DG); Unidade Local de Saúde de São João (SV); Yerevan State Medical University, Armenia (AV); Faculty of Medicine and Life Sciences, University of Latvia, Riga, Latvia (IG); Department of Anaesthesiology, Hospital of Traumatology and Orthopaedics, Riga, Latvia (IG); University Clinic for Traumatology, Orthopedic Diseases, Anaesthesia, Resuscitation, Intensive Care and Emergency Center, Clinical Center "Mother Theresa", Skopje, North Macedonia (VD); Caucasus Medical Centre, Vian corporation (MC); Mother Teresa UHC, Tirana, Albania (SK); Department of Anesthesiology, Reanimation and Intensive Care, Clinical Center of Montenegro (BV); Tor Vergata University, Rome, Italy (FB).
欧洲接受手术的患者经常经历长时间的手术前液体禁食,远远超过推的指导方针. 这种广泛的做法凸显了在实施基于证据的禁食协议以改善患者护理方面存在的关键差距.
科学领域:
- 麻醉学 麻醉学
- 患者安全 患者安全
- 临床实践指南 临床实践指南
背景情况:
- 国际指导方针建议在手术前禁食2小时清洁液体.
- 长时间的禁食是常见的,导致患者的不适和潜在的不良结果.
- 在临床实践中,遵守禁食指南仍然是一个重大挑战.
研究的目的:
- 评估目前在欧洲接受选择性手术的成年人手术前清晰液体禁食的做法.
- 为了确定长时间禁食的流行情况.
- 评估遵守既定禁食指南的情况.
主要方法:
- 展望性,观察性,多中心研究,涉及46个欧洲中心的5100名成年患者.
- 收集自行报告的手术前液体禁食时间的数据.
- 分析包括平均禁食时间和禁食时间>4小时的发病率,并根据国家和程序类型对子组进行分析.
主要成果:
- 术前液体禁食的中位数为12小时,明显超过了推的2小时.
- 只有4%的患者在2-4小时内禁食,只有0.8%的患者在2小时内禁食.
- 95%的患者禁食时间超过4小时,这表明广泛的不遵守.
结论:
- 过度的手术前液体禁食在欧洲非常普遍,这表明指导方针的落实不佳.
- 欧洲各国的禁食习惯存在显著差异.
- 需要进行干预措施,以改善遵守基于证据的禁食指南,并加强以患者为中心的护理.
相关概念视频
Bioavailability Study Design: Healthy Subjects Versus Patients
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Metabolic States of the Body: Fasting and Starvation


