Jejum pré-operatório: estamos fazendo corretamente? Coorte retrospectiva

Abstract

Objectives: To assess whether the preoperative fasting of patients undergoing elective surgery at the Clinical Hospital of Passo Fundo-RS, follows the recommendation of the American Anesthesiology Association (ASA), regarding the fasting time. Methods: 151 medical records were analyzed in the preoperative check-list of patients who underwent 28 elective surgeries from January 1 to December 30, 2019, quantifying the fasting time prescribed in the preoperative period. Results: According to the research, patients undergoing elective surgery at the Hospital of Passo Fundo, follow the ASA recommendations regarding the minimum period of preoperative fasting, in addition the vast majority of patients exceed the time stipulated by the ASA guidelines, passing through 10 am. fasting hours, reaching up to 23 hours, reasons for prolonged fasting have not been reported.Conclusions: Like most hospitals in the country, the Hospital of Clínics de Passo Fundo-RS does not follow the fasting time recommended by the ASA recommendations, exceeding the preoperative fasting time, which may imply an increase in metabolic complications, with late recovery, resulting in increased stay and hospital costs.