Aspiration and regurgitation prophylaxis in paediatric anaesthesia
Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routi...
Ausführliche Beschreibung
Autor*in: |
Engelhardt, T. - MD, FRCA [verfasserIn] Strachan, L. - MBCHB, FRCA [verfasserIn] Johnston, G. - MBCHB, FRCA [verfasserIn] |
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E-Artikel |
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Erschienen: |
Oxford UK: Blackwell Science Ltd ; 2001 |
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Online-Ressource |
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Reproduktion: |
2008 ; Blackwell Publishing Journal Backfiles 1879-2005 |
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Übergeordnetes Werk: |
In: Pediatric anesthesia - Oxford [u.a.] : Wiley-Blackwell, 1991, 11(2001), 2, Seite 0 |
Übergeordnetes Werk: |
volume:11 ; year:2001 ; number:2 ; pages:0 |
Links: |
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DOI / URN: |
10.1046/j.1460-9592.2001.00630.x |
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NLEJ24387443X |
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520 | |a Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. | ||
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10.1046/j.1460-9592.2001.00630.x doi (DE-627)NLEJ24387443X DE-627 ger DE-627 rakwb Engelhardt, T. MD, FRCA verfasserin aut Aspiration and regurgitation prophylaxis in paediatric anaesthesia Oxford UK Blackwell Science Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. 2008 Blackwell Publishing Journal Backfiles 1879-2005 |2008|||||||||| aspiration Strachan, L. MBCHB, FRCA verfasserin aut Johnston, G. MBCHB, FRCA verfasserin aut In Pediatric anesthesia Oxford [u.a.] : Wiley-Blackwell, 1991 11(2001), 2, Seite 0 Online-Ressource (DE-627)NLEJ243926200 (DE-600)2008564-3 1460-9592 nnns volume:11 year:2001 number:2 pages:0 http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 11 2001 2 0 |
spelling |
10.1046/j.1460-9592.2001.00630.x doi (DE-627)NLEJ24387443X DE-627 ger DE-627 rakwb Engelhardt, T. MD, FRCA verfasserin aut Aspiration and regurgitation prophylaxis in paediatric anaesthesia Oxford UK Blackwell Science Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. 2008 Blackwell Publishing Journal Backfiles 1879-2005 |2008|||||||||| aspiration Strachan, L. MBCHB, FRCA verfasserin aut Johnston, G. MBCHB, FRCA verfasserin aut In Pediatric anesthesia Oxford [u.a.] : Wiley-Blackwell, 1991 11(2001), 2, Seite 0 Online-Ressource (DE-627)NLEJ243926200 (DE-600)2008564-3 1460-9592 nnns volume:11 year:2001 number:2 pages:0 http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 11 2001 2 0 |
allfields_unstemmed |
10.1046/j.1460-9592.2001.00630.x doi (DE-627)NLEJ24387443X DE-627 ger DE-627 rakwb Engelhardt, T. MD, FRCA verfasserin aut Aspiration and regurgitation prophylaxis in paediatric anaesthesia Oxford UK Blackwell Science Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. 2008 Blackwell Publishing Journal Backfiles 1879-2005 |2008|||||||||| aspiration Strachan, L. MBCHB, FRCA verfasserin aut Johnston, G. MBCHB, FRCA verfasserin aut In Pediatric anesthesia Oxford [u.a.] : Wiley-Blackwell, 1991 11(2001), 2, Seite 0 Online-Ressource (DE-627)NLEJ243926200 (DE-600)2008564-3 1460-9592 nnns volume:11 year:2001 number:2 pages:0 http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 11 2001 2 0 |
allfieldsGer |
10.1046/j.1460-9592.2001.00630.x doi (DE-627)NLEJ24387443X DE-627 ger DE-627 rakwb Engelhardt, T. MD, FRCA verfasserin aut Aspiration and regurgitation prophylaxis in paediatric anaesthesia Oxford UK Blackwell Science Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. 2008 Blackwell Publishing Journal Backfiles 1879-2005 |2008|||||||||| aspiration Strachan, L. MBCHB, FRCA verfasserin aut Johnston, G. MBCHB, FRCA verfasserin aut In Pediatric anesthesia Oxford [u.a.] : Wiley-Blackwell, 1991 11(2001), 2, Seite 0 Online-Ressource (DE-627)NLEJ243926200 (DE-600)2008564-3 1460-9592 nnns volume:11 year:2001 number:2 pages:0 http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 11 2001 2 0 |
allfieldsSound |
10.1046/j.1460-9592.2001.00630.x doi (DE-627)NLEJ24387443X DE-627 ger DE-627 rakwb Engelhardt, T. MD, FRCA verfasserin aut Aspiration and regurgitation prophylaxis in paediatric anaesthesia Oxford UK Blackwell Science Ltd 2001 Online-Ressource nicht spezifiziert zzz rdacontent nicht spezifiziert z rdamedia nicht spezifiziert zu rdacarrier Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. 2008 Blackwell Publishing Journal Backfiles 1879-2005 |2008|||||||||| aspiration Strachan, L. MBCHB, FRCA verfasserin aut Johnston, G. MBCHB, FRCA verfasserin aut In Pediatric anesthesia Oxford [u.a.] : Wiley-Blackwell, 1991 11(2001), 2, Seite 0 Online-Ressource (DE-627)NLEJ243926200 (DE-600)2008564-3 1460-9592 nnns volume:11 year:2001 number:2 pages:0 http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x text/html Verlag Deutschlandweit zugänglich Volltext GBV_USEFLAG_U ZDB-1-DJB GBV_NL_ARTICLE AR 11 2001 2 0 |
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Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. |
abstractGer |
Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. |
abstract_unstemmed |
Background: Surveys of aspiration prophylaxis in paediatric anaesthesia do not exist. Methods: A postal survey was sent out to all UK members of the Association of Paediatric Anaesthetists (APA) to assess current practice. We asked about minimum fasting times for liquids and solids/milk, their routine acid aspiration prophylaxis and perceived risk factors for emergency and elective surgery in children those less than 1 year old and those aged 1–14 years. We also asked if the APA member had more than 10 years experience in paediatric anaesthesia. Results: One hundred and two (55.1%) APA members replied out of a total of 185 questionnaires sent. Eighty-eight (88/102) were considered valid. Fasting in emergencies is approximately 4 h for solids/milk and 2 h for clear liquids. Fasting for elective surgery is between 5 and 6 h for solids/milk and 2 h for clear liquids. Pharmacological methods to reduce the risk of aspiration are not used. Mechanical methods vary from 40–50% for cricoid pressure and 20–30% for nasogastric aspiration if a tube is present. The presence of a hiatus hernia is perceived by over 80% as a risk factor, previous aspiration by over 60%, difficult intubation, cerebral palsy and sepsis by 20–30%. Conclusions: Perceived risk factors vary with ‘experience’: hiatus hernia, difficult intubation and cerebral palsy are less important whereas previous aspiration and renal failure appear to be more important for paediatric anaesthetists with less than 10 years in paediatric anaesthetic practice. |
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title_short |
Aspiration and regurgitation prophylaxis in paediatric anaesthesia |
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http://dx.doi.org/10.1046/j.1460-9592.2001.00630.x |
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Strachan, L. MBCHB, FRCA Johnston, G. MBCHB, FRCA |
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Strachan, L. MBCHB, FRCA Johnston, G. MBCHB, FRCA |
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10.1046/j.1460-9592.2001.00630.x |
up_date |
2024-07-06T06:48:16.398Z |
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