The feasibility study on early feeding after general anesthesia in arthroscopic surgery_West China Medical Journal

Authors：

LI Pengcheng ,  NING Ning , LI Jian , LIU Li , LI Jing , ZHANG Zhong

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@163.com

Keywords：

Arthroscopic surgery; General anesthesia; Early feeding

DOI：

10.7507/1002-0179.201808071

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the feasibility and safety of early feeding after arthroscopic surgery with general anesthesia. Methods One hundred patients undergoing arthroscopic surgery with general anesthesia between January and December 2017 were randomly divided into the routine feeding group and the early feeding group, with 50 cases in each group. In the routine feeding group, patients were feeding after anus gas passage or 6 hours after surgery. Under full assessment, patients in the early feeding group could drink or eat when recovered from anesthesia. The nausea, vomiting, abdominal distension, and thirst incidences and the comfort degree 6 hours after surgery, the time of first stand up on foot, and the length of hospital stay between the two groups were compared. Results There was no statistical difference (P>0.05) in the incidence of disgusting (10.0%vs. 22.0%), vomiting (6.0% vs. 16.0%), abdominal distention (4.0% vs. 12.0%) or length of hospital stay [(6.44±2.28) vs. (6.34±0.94) days]. The difference in the incidence of postoperative thirst (14.0% vs. 40.0%), the comfort degree 6 hours after surgery (2.36±1.21 vs. 4.14±1.53), the time of the first stand up on foot [(17.30±10.32) vs. (20.84±3.92) hours] were statistically significant (P<0.05). Conclusions Early feeding is safe and feasible for the postoperiative arthroscopic surgery after general anesthesia, and can improve the patients’ comfort degree.

Citation： LI Pengcheng, NING Ning, LI Jian, LIU Li, LI Jing, ZHANG Zhong. The feasibility study on early feeding after general anesthesia in arthroscopic surgery. West China Medical Journal, 2018, 33(9): 1177-1180. doi: 10.7507/1002-0179.201808071 Copy

1.	Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol, 1946, 52(2): 191-205.
2.	Exarhos ND, Logan WD Jr, Abbott OA, et al. The importance of pH and volume in tracheobronchial aspiration. Dis Chest, 1965, 47(2): 167-169.
3.	James CF, Modell JH, Gibbs CP, et al. Pulmonary aspiration: effects of volume and pH in the rat. Anesth Analg, 1984, 63(7): 665-668.
4.	徐亚维, 张媛娜, 屈军侠, 等. 颈椎全麻术后首次饮食时间研究. 护士进修杂志, 2014, 29(18): 1637-1639.
5.	中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
6.	覃倩, 王志稳, 董秀丽. 骨科学龄期儿童全麻术后早期进食进水的研究. 中华护理杂志, 2018, 53(4): 399-403.
7.	郭延霞, 高洁, 史建秀. 骨科椎管内麻醉患者术后首次饮食时间的研究. 中华护理杂志, 2012, 47(2): 112-114.
8.	李俊. 骨科患者椎管内麻醉术后早期进食效果观察及护理. 齐鲁护理杂志, 2011, 17(32): 27-28.
9.	郭曲练, 姚尚龙. 临床麻醉学. 3 版. 北京: 人民卫生出版, 2011: 439.
10.	杨枝芳, 贺广湘. 简易吞咽激发试验在鼻咽癌放疗后吞咽障碍评估中的应用研究. 中国耳鼻咽喉颅底外科杂志, 2015, 21(2): 132-134, 139.
11.	Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol, 2011, 28(8): 556-569.
12.	Gan TJ, Diemunsch P, Habib AS, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2014, 118(1): 85-113.
13.	中国医师协会麻醉学医师分会. 促进术后康复的麻醉管理专家共识. 中华麻醉学杂志, 2015, 35(2): 141-148.
14.	詹陈菊, 王美, 刘琪希, 等. 四肢骨折全麻术后患者早期进食的实证研究. 护理学杂志, 2017, 32(8): 54-56.
15.	宁宁, 李箭, 曾建成, 等. 临床路径实施于膝关节镜术的效果评价. 护士进修杂志, 2002, 17(4): 252-253.
16.	王艳, 易祖玲. 医护一体化模式在骨科护理中的应用研究. 中华损伤与修复杂志: 电子版, 2014, 9(4): 80-82.
17.	陈雪, 张玉兰. 扁平化护理模式在骨科快速康复中的应用. 当代护士: 上旬刊, 2017, 7: 69-71.

1. Mendelson CL. The aspiration of stomach contents into the lungs during obstetric anesthesia. Am J Obstet Gynecol, 1946, 52(2): 191-205.
2. Exarhos ND, Logan WD Jr, Abbott OA, et al. The importance of pH and volume in tracheobronchial aspiration. Dis Chest, 1965, 47(2): 167-169.
3. James CF, Modell JH, Gibbs CP, et al. Pulmonary aspiration: effects of volume and pH in the rat. Anesth Analg, 1984, 63(7): 665-668.
4. 徐亚维, 张媛娜, 屈军侠, 等. 颈椎全麻术后首次饮食时间研究. 护士进修杂志, 2014, 29(18): 1637-1639.
5. 中华医学会外科学分会, 中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018 版). 中国实用外科杂志, 2018, 38(1): 1-20.
6. 覃倩, 王志稳, 董秀丽. 骨科学龄期儿童全麻术后早期进食进水的研究. 中华护理杂志, 2018, 53(4): 399-403.
7. 郭延霞, 高洁, 史建秀. 骨科椎管内麻醉患者术后首次饮食时间的研究. 中华护理杂志, 2012, 47(2): 112-114.
8. 李俊. 骨科患者椎管内麻醉术后早期进食效果观察及护理. 齐鲁护理杂志, 2011, 17(32): 27-28.
9. 郭曲练, 姚尚龙. 临床麻醉学. 3 版. 北京: 人民卫生出版, 2011: 439.
10. 杨枝芳, 贺广湘. 简易吞咽激发试验在鼻咽癌放疗后吞咽障碍评估中的应用研究. 中国耳鼻咽喉颅底外科杂志, 2015, 21(2): 132-134, 139.
11. Smith I, Kranke P, Murat I, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. Eur J Anaesthesiol, 2011, 28(8): 556-569.
12. Gan TJ, Diemunsch P, Habib AS, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg, 2014, 118(1): 85-113.
13. 中国医师协会麻醉学医师分会. 促进术后康复的麻醉管理专家共识. 中华麻醉学杂志, 2015, 35(2): 141-148.
14. 詹陈菊, 王美, 刘琪希, 等. 四肢骨折全麻术后患者早期进食的实证研究. 护理学杂志, 2017, 32(8): 54-56.
15. 宁宁, 李箭, 曾建成, 等. 临床路径实施于膝关节镜术的效果评价. 护士进修杂志, 2002, 17(4): 252-253.
16. 王艳, 易祖玲. 医护一体化模式在骨科护理中的应用研究. 中华损伤与修复杂志: 电子版, 2014, 9(4): 80-82.
17. 陈雪, 张玉兰. 扁平化护理模式在骨科快速康复中的应用. 当代护士: 上旬刊, 2017, 7: 69-71.

West China Medical Journal

The feasibility study on early feeding after general anesthesia in arthroscopic surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content