Safety and feasibility of early drinking water after general anesthesia recovery in patients undergoing daytime surgery.
Antral motility index
Early drinking water
General anesthesia
Nausea and vomiting
Pre-drinking water assessment
Journal
BMC anesthesiology
ISSN: 1471-2253
Titre abrégé: BMC Anesthesiol
Pays: England
ID NLM: 100968535
Informations de publication
Date de publication:
10 Jul 2024
10 Jul 2024
Historique:
received:
28
04
2024
accepted:
01
07
2024
medline:
11
7
2024
pubmed:
11
7
2024
entrez:
10
7
2024
Statut:
epublish
Résumé
Patients who are recovering from general anesthesia commonly exhibit symptoms such as dry lips, throat irritation, and thirst, prompting a desire to drink water in the post-anesthesia care unit (PACU). In this study, we aimed to evaluate the therapeutic effects and any potential complications of administering varying quantities of water to such patients. The primary objectives are to assess the safety and feasibility of early water intake after general anesthesia, specifically in the context of daytime surgery. A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1-2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups. Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05). Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.
Sections du résumé
BACKGROUND
BACKGROUND
Patients who are recovering from general anesthesia commonly exhibit symptoms such as dry lips, throat irritation, and thirst, prompting a desire to drink water in the post-anesthesia care unit (PACU). In this study, we aimed to evaluate the therapeutic effects and any potential complications of administering varying quantities of water to such patients. The primary objectives are to assess the safety and feasibility of early water intake after general anesthesia, specifically in the context of daytime surgery.
METHODS
METHODS
A total of 200 nongastrointestinal patients who underwent outpatient surgery were randomly assigned to four groups: Group A (drinking < 1 ml/kg), Group B (drinking 1-2 ml/kg), Group C (drinking > 2 ml/kg), and Group D (no water intake). We monitored changes in the assessment parameters before and after water consumption, as well as the incidence of post-drinking nausea and vomiting, and compared these outcomes among the four groups.
RESULTS
RESULTS
Water intake led to a significant reduction in thirst, oropharyngeal discomfort, and pain scores and a notable increase in the gastric antrum motility index (MI), exhibiting statistical significance compared to the values before drinking (p < 0.05). Remarkably, higher water consumption correlated with enhanced gastrointestinal peristalsis. There was a significant difference in the antral MI among groups B, C, and A (p < 0.05). The occurrence of nausea and vomiting did not significantly differ among groups A, B, C, and D (p > 0.05). Early water consumption enhanced patient satisfaction with medical care, significantly varying from Group D (p < 0.05).
CONCLUSION
CONCLUSIONS
Non-gastrointestinal surgical patients who passed pre-drinking water assessments post GA(general anesthesia)recovery could safely ingest moderate amounts of water in the PACU. Early water intake is both safe and feasible, effectively fostering swift postoperative recovery.
Identifiants
pubmed: 38987679
doi: 10.1186/s12871-024-02615-5
pii: 10.1186/s12871-024-02615-5
doi:
Substances chimiques
Drinking Water
0
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
231Informations de copyright
© 2024. The Author(s).
Références
Group CER, A. Chinese consensus of enhanced recovery after surgery for colorectal surgery (2015). Chin J Gastrointest Surg. 2015;18(8):785–7. PMID: 26547945.
Çalişkan N, Bulut H, Konan A. The effect of warm water intake on bowel movements in the early postoperative stage of patients having undergone laparoscopic cholecystectomy: a randomized controlled trial. Gastroenterol Nurs. 2016;39(5):340–7. https://doi.org/10.1097/SGA.0000000000000181 .
doi: 10.1097/SGA.0000000000000181
pubmed: 27684632
Nakagawa M, Tokunaga M, Aburatani T, et al. Feasibility and safety of early oral intake and discharge after total or proximal gastrectomy: an analysis of consecutive cases without exclusion criteria. Ann Surg Oncol. 2020;27(3):812–21. https://doi.org/10.1245/s10434-019-08072-6 .
doi: 10.1245/s10434-019-08072-6
pubmed: 31722074
Shinohara T, Maeda Y, Koyama R, et al. Feasibility and safety of early oral feeding in patients with gastric cancer after radical gastrectomy. Indian J Surg Oncol. 2020;11(1):47–55. https://doi.org/10.1007/s13193-019-00999-2 .
doi: 10.1007/s13193-019-00999-2
pubmed: 32205970
Mercan A, El-Kerdawy H, Bhavsaar B, et al. The effect of timing and temperature of oral fluids ingested after minor surgery in preschool children on vomiting: a prospective, randomized, clinical study. Paediatr Anaesth. 2011;21(10):1066–70. https://doi.org/10.1111/j.1460-9592.2011.03626.x .
doi: 10.1111/j.1460-9592.2011.03626.x
pubmed: 21668799
Yin X, Ye L, Zhao L, et al. Early versus delayed postoperative oral hydration after general anesthesia: a prospective randomized trial. Int J Clin Exp Med. 2014;7(10):3491–6. PMID: 25419388.
pubmed: 25419388
pmcid: 4238515
Park YH, Han HR, Oh S, et al. Validation of the Korean version of the standardized swallowing assessment among nursing home residents. J Gerontol Nurs. 2014;40(2):26–35. https://doi.org/10.3928/00989134-20131220-08 . quiz 6–7.
doi: 10.3928/00989134-20131220-08
pubmed: 24550122
Nascimento LA, Fonseca LF, Rosseto EG, et al. Development of a safety protocol for management thirst in the immediate postoperative period. Rev Esc Enferm USP. 2014;48(5):834–43. https://doi.org/10.1590/S0080-6234201400005000009 .
doi: 10.1590/S0080-6234201400005000009
pubmed: 25493487
Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of anaesthetists and the British Association of Day surgery. Anaesthesia. 2019;74(6):778–92. https://doi.org/10.1111/anae.14639 .
doi: 10.1111/anae.14639
pubmed: 30963557
Suiter DM, Leder SB. Clinical utility of the 3-ounce water swallow test. Dysphagia. 2008;23(3):244–50. https://doi.org/10.1007/s00455-007-9127-y .
doi: 10.1007/s00455-007-9127-y
pubmed: 18058175
Liu Y, Gao YK, Yao L, et al. Modified B-ultrasound method for measurement of antral section only to assess gastric function and guide enteral nutrition in critically ill patients. World J Gastroenterol. 2017;23(28):5229–36. https://doi.org/10.3748/wjg.v23.i28.5229 .
doi: 10.3748/wjg.v23.i28.5229
pubmed: 28811717
pmcid: 5537189
Feldheiser A, Aziz O, Baldini G, et al. Enhanced recovery after surgery (ERAS) for gastrointestinal surgery, part 2: consensus statement for anaesthesia practice. Acta Anaesthesiol Scand. 2016;60(3):289–334. https://doi.org/10.1111/aas.12651 .
doi: 10.1111/aas.12651
pubmed: 26514824
Guan Z, Gao Y, Qiao Q, et al. Effects of intraoperative goal-directed fluid therapy and restrictive fluid therapy combined with enhanced recovery after surgery protocol on complications after thoracoscopic lobectomy in high-risk patients: study protocol for a prospective randomized controlled trial. Trials. 2021;22(1):36. https://doi.org/10.1186/s13063-020-04983-y .
doi: 10.1186/s13063-020-04983-y
pubmed: 33413593
pmcid: 7792083
Polanco TO, Shamsunder MG, Hicks MEV, et al. Goal-directed fluid therapy in autologous breast reconstruction results in less fluid and more vasopressor administration without outcome compromise. J Plast Reconstr Aesthet Surg. 2021;74(9):2227–36. https://doi.org/10.1016/j.bjps.2021.01.017 .
doi: 10.1016/j.bjps.2021.01.017
pubmed: 33745850
pmcid: 9173811
Yin X, Zeng X, Wang T, et al. Early versus delayed postoperative oral hydration in children following general anesthesia: a prospective randomized trial. BMC Anesthesiol. 2020;20(1):174. https://doi.org/10.1186/s12871-020-01086-8 .
doi: 10.1186/s12871-020-01086-8
pubmed: 32682394
pmcid: 7368717
Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth. 1995;7(6):500–6. https://doi.org/10.1016/0952-8180(95)00130-A .
doi: 10.1016/0952-8180(95)00130-A
pubmed: 8534468
Wu M, Yang L, Zeng X, et al. Safety and feasibility of early oral hydration in the postanesthesia care unit after laparoscopic cholecystectomy: a prospective, randomized, and controlled study. J Perianesth Nurs. 2019;34(2):425–30. https://doi.org/10.1016/j.jopan.2018.06.093 .
doi: 10.1016/j.jopan.2018.06.093
pubmed: 30340960
Ford C, McCormick D, Parkosewich J, et al. Safety and effectiveness of early oral hydration in patients after cardiothoracic surgery. Am J Crit Care. 2020;29(4):292–300. https://doi.org/10.4037/ajcc2020841 .
doi: 10.4037/ajcc2020841
pubmed: 32607569
Tominaga K, Nakahara T. The twenty-degree reverse-trendelenburg position decreases the incidence and severity of postoperative nausea and vomiting after thyroid surgery. Anesth Analg. 2006;103(5):1260–3. https://doi.org/10.1213/01.ane.0000240872.08802.f0 .
doi: 10.1213/01.ane.0000240872.08802.f0
pubmed: 17056965
Pellissier S, Bonaz B. The place of stress and emotions in the irritable bowel syndrome. Vitam Horm. 2017;103:327–54. https://doi.org/10.1016/bs.vh.2016.09.005 .
doi: 10.1016/bs.vh.2016.09.005
pubmed: 28061975
Konturek PC, Brzozowski T, Konturek SJ. Stress and the gut: pathophysiology, clinical consequences, diagnostic approach and treatment options. J Physiol Pharmacol. 2011;62(6):591–9. PMID: 22314561.
pubmed: 22314561
Wang Z, Shi A, Chen Y, et al. Water intake and its influencing factors of children and adolescents in Shanghai. J Hygiene Res. 2014;43(1):66–9. PMID: 24564113.
Zheng H, Fei J, Zhang L, et al. Risk factor analysis of insufficient fluid intake among urban adults in Wuxi, China: a classification and regression tree analysis. BMC Public Health. 2020;20(1):286. https://doi.org/10.1186/s12889-020-8380-y .
doi: 10.1186/s12889-020-8380-y
pubmed: 32131783
pmcid: 7057576