Adherence to pre-operative fasting guidelines and associated factors among pediatric surgical patients in selected government referral hospitals, Addis Ababa, Ethiopia, 2020.
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Date
2020-06
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Addis Abeba University
Abstract
Background: Fasting of children before anesthesia is mandatory with the aim of to reduce the
complications of due to regurgitation, vomiting, aspiration during anesthesia and surgery.
Prolonged fasting times have several negative implications in children due to high fluid turnover
quickly leads to dehydration, perioperative hypotension, metabolic disturbances and
hypoglycemia which leads to poor anesthetic outcomes.
Objective: The aim of this study was to assess adherence to preoperative fasting guidelines and
associated factors among pediatrics patients undergoing elective surgery in Addis Ababa selected
government Hospitals, Ethiopia, 2020.
Method: A cross-sectional survey was conducted in Addis Ababa selected government hospitals,
Ethiopia in 2020. A total sample of 279 pediatric patients with age up 17 years scheduled for
elective surgery included in the data collection. The data analysis was done with SPSS V.21 and
the value of the variables and its associated factors was checked its association with logistic
regression. Significance was determined at P -value <0.05. The result was presented by using
text, tables, charts, and graphs.
Results: A total of 279 pediatrics patients were responded in the analysis with a 98.6% response
rate. Majority of the participants 251(89.96%) were not followed the guidelines of preoperative
fasting. The mean fasting time for clear liquids was 10±4.03 (2-18 hrs.), for breast milk
7.18±2.26 (3.5-12 hrs.), and for solid foods 13.5±2.76 (8-19 hrs.). The reasons for which the
preoperative fasting delayed was due to incorrect order 35.1% , prior cases procedures took
longer times 34.1% changing sequence of schedule was 20.8%.
Conclusion: The majority of children were still having prolonged fasting practice. The staff’s
instructions and sequences of schedules are challenged to follow the international fasting
guidelines protocol.
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Keywords
Preoperative, fasting, adherence, pediatrics, guideline.