Influence of Shortened Fasting Time on Perioperative Outcomes in Pediatric Patients: A Systematic Review

jpedsurg.org

Prolonged preoperative fasting can cause hypoglycemia, dehydration, hypotension, and irritability, especially in children. Multimodal protocols such as the Enhanced Recovery After Operation (ERAS) and the Accelerated Full Postoperative Recovery (ACERTO, Aceleração da Recuperação Total Pós-Operatória) recommend a shortened fasting period. The aim of this study is to evaluate the association between shortened preoperative fasting and perioperative outcomes in pediatric patients.

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Article · Jun 2024 · 1 min read

In brief

This systematic review evaluates shortened preoperative fasting protocols in pediatric surgical patients, examining their impact on complications like hypoglycemia, dehydration, and irritability. The study assesses evidence supporting ERAS and ACERTO multimodal approaches that challenge traditional prolonged fasting practices in children.

Prolonged preoperative fasting increases risk of hypoglycemia, dehydration, hypotension, and irritability in pediatric patients.
ERAS and ACERTO protocols recommend shortened preoperative fasting periods to improve pediatric perioperative outcomes.
Reducing fasting time may mitigate metabolic and hemodynamic complications in children undergoing surgery.

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