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：

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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

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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.	中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
14.	詹陳菊, 王美, 劉琪希, 等. 四肢骨折全麻術后患者早期進食的實證研究. 護理學雜志, 2017, 32(8): 54-56.
15.	寧寧, 李箭, 曾建成, 等. 臨床路徑實施于膝關節鏡術的效果評價. 護士進修雜志, 2002, 17(4): 252-253.
16.	王艷, 易祖玲. 醫護一體化模式在骨科護理中的應用研究. 中華損傷與修復雜志: 電子版, 2014, 9(4): 80-82.
17.	陳雪, 張玉蘭. 扁平化護理模式在骨科快速康復中的應用. 當代護士: 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. 徐亞維, 張媛娜, 屈軍俠, 等. 頸椎全麻術后首次飲食時間研究. 護士進修雜志, 2014, 29(18): 1637-1639.
5. 中華醫學會外科學分會, 中華醫學會麻醉學分會. 加速康復外科中國專家共識及路徑管理指南(2018 版). 中國實用外科雜志, 2018, 38(1): 1-20.
6. 覃倩, 王志穩, 董秀麗. 骨科學齡期兒童全麻術后早期進食進水的研究. 中華護理雜志, 2018, 53(4): 399-403.
7. 郭延霞, 高潔, 史建秀. 骨科椎管內麻醉患者術后首次飲食時間的研究. 中華護理雜志, 2012, 47(2): 112-114.
8. 李俊. 骨科患者椎管內麻醉術后早期進食效果觀察及護理. 齊魯護理雜志, 2011, 17(32): 27-28.
9. 郭曲練, 姚尚龍. 臨床麻醉學. 3 版. 北京: 人民衛生出版, 2011: 439.
10. 楊枝芳, 賀廣湘. 簡易吞咽激發試驗在鼻咽癌放療后吞咽障礙評估中的應用研究. 中國耳鼻咽喉顱底外科雜志, 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. 中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
14. 詹陳菊, 王美, 劉琪希, 等. 四肢骨折全麻術后患者早期進食的實證研究. 護理學雜志, 2017, 32(8): 54-56.
15. 寧寧, 李箭, 曾建成, 等. 臨床路徑實施于膝關節鏡術的效果評價. 護士進修雜志, 2002, 17(4): 252-253.
16. 王艷, 易祖玲. 醫護一體化模式在骨科護理中的應用研究. 中華損傷與修復雜志: 電子版, 2014, 9(4): 80-82.
17. 陳雪, 張玉蘭. 扁平化護理模式在骨科快速康復中的應用. 當代護士: 上旬刊, 2017, 7: 69-71.

West China Medical Journal

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

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