Date: 13/07/2015 20:21:51
From: Rule 303
ID: 748042
Subject: Fasting before surgery

There’s an interesting thing:

ABC Online News said:

Patients are going without adequate sustenance before surgery and fasting guidelines need to be revised, a national meeting of anaesthetists has heard.

Fellows of the Australian and New Zealand College of Anaesthetists (ANZCA) met at Tasmania’s Cradle Mountain over the weekend for their annual rural Special Interest Group meeting.

A presentation by Dr David Rowe, an anaesthetist from Armidale in regional New South Wales, challenged the current guidelines for people fasting before morning surgery.

“The standard six hours for solids and two hours for certain types of clear fluids in most people’s practice end up, by accident, running up to 12, 13, 14 hours with no calories going in,” he said.

He said the body needed energy to recover from invasive surgery.

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Date: 13/07/2015 23:04:41
From: SCIENCE
ID: 748105
Subject: re: Fasting before surgery

carbload

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Date: 14/07/2015 08:41:40
From: Peak Warming Man
ID: 748159
Subject: re: Fasting before surgery

What is the reasoning behind the current fasting requirements?

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Date: 14/07/2015 08:49:31
From: Arts
ID: 748160
Subject: re: Fasting before surgery

So you don’t regurgitate And aspirate that vomit during surgery.

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Date: 14/07/2015 09:06:05
From: Peak Warming Man
ID: 748161
Subject: re: Fasting before surgery

Arts said:


So you don’t regurgitate And aspirate that vomit during surgery.

That’s what I suspected.
So this new kid on the block wants to fill them up with a Big Mac, Fries and a double malted milk shake so they can recover quickly?

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Date: 14/07/2015 09:07:42
From: poikilotherm
ID: 748162
Subject: re: Fasting before surgery

Peak Warming Man said:


Arts said:

So you don’t regurgitate And aspirate that vomit during surgery.

That’s what I suspected.
So this new kid on the block wants to fill them up with a Big Mac, Fries and a double malted milk shake so they can recover quickly?

The wait times for surgery often blow out – having patients in a fasted state for way longer than required, he would like that to change…

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Date: 14/07/2015 09:12:42
From: Arts
ID: 748163
Subject: re: Fasting before surgery

Peak Warming Man said:


Arts said:

So you don’t regurgitate And aspirate that vomit during surgery.

That’s what I suspected.
So this new kid on the block wants to fill them up with a Big Mac, Fries and a double malted milk shake so they can recover quickly?

From what I know, there has been some discussion about fasting before surgery for a while. There have been some changes to modern anaesthetic techniques that don’t require such heavy sedation etc Which means more responsive patients. Small amounts of Water and clear liquids seem to be ok even during the fasting phase, so they should just get the natropaths onto it and get them to dilute some carbs into some water… Easy peasy….

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Date: 14/07/2015 22:13:56
From: AwesomeO
ID: 748370
Subject: re: Fasting before surgery

Seems to me the difference between a slightly, very slightly impaired recovery and the risk of a catastrophic incident. In view of the risk potentials If surgery is planned it would be prudent to go in well nourished and fasted.

I am not a doctor nor do I play one on TV but I have worked in risk management.

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