Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study

Abstract Background Limiting the preoperative fasting period positively impact surgical patient outcome. In tertiary care hospitals, preoperative fasting instructions are mostly implemented by postgraduates. This study was conducted to evaluate the knowledge, attitude, and practice of postgraduate t...

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Main Authors: Nipun Gupta, Subhasish Patnaik, Lahareesh B. Lakkegowda, Alok Jaiswal, Deepak Dwivedi
Format: Article
Language:English
Published: SpringerOpen 2022-03-01
Series:Ain Shams Journal of Anesthesiology
Subjects:
Online Access:https://doi.org/10.1186/s42077-022-00230-5
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author Nipun Gupta
Subhasish Patnaik
Lahareesh B. Lakkegowda
Alok Jaiswal
Deepak Dwivedi
author_facet Nipun Gupta
Subhasish Patnaik
Lahareesh B. Lakkegowda
Alok Jaiswal
Deepak Dwivedi
author_sort Nipun Gupta
collection DOAJ
description Abstract Background Limiting the preoperative fasting period positively impact surgical patient outcome. In tertiary care hospitals, preoperative fasting instructions are mostly implemented by postgraduates. This study was conducted to evaluate the knowledge, attitude, and practice of postgraduate trainees of surgical specialties and anesthesiology regarding preoperative fasting. This observational study was conducted at a tertiary care hospital in May 2020. Consenting 166 postgraduate trainees of anesthesiology and surgical specialties was asked to respond to a questionnaire consisting of nine questions. The primary outcome was the knowledge status of postgraduate trainees regarding preoperative fasting guidelines and secondary outcomes being their attitude and practice of the same. Categorical data were presented as numbers and percentages. Results Out of 166 respondents, 149 (89.8%) and 94 (56.6%) respondents could not correctly describe the practice guidelines published by the American Society of Anaesthesiology pertaining to preoperative fasting in adult and pediatric patients respectively. Of the total respondents, 146 (87.9%) and 108 (65.1%) gave incorrect preoperative fasting instructions to adult and pediatric patients, respectively. The source of information regarding fasting guidelines was seniors amongst 89 (53.6%) respondents. Fifty-one (30.7%) respondents were unaware of the benefits of limiting preoperative fasting. Conclusions There is an imminent need for change in the knowledge, attitude, and practices of residents with regards to preoperative fasting practices. A holistic approach with formal teaching and development of SOP can achieve the change of practice of “NPO after midnight.”
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spelling doaj.art-79aeffc628574220b055d61a2651f7da2022-12-22T00:21:24ZengSpringerOpenAin Shams Journal of Anesthesiology2090-925X2022-03-011411810.1186/s42077-022-00230-5Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational studyNipun Gupta0Subhasish Patnaik1Lahareesh B. Lakkegowda2Alok Jaiswal3Deepak Dwivedi4Military HospitalAir Force HospitalMilitary HospitalMilitary HospitalCommand Hospital (Eastern Command)Abstract Background Limiting the preoperative fasting period positively impact surgical patient outcome. In tertiary care hospitals, preoperative fasting instructions are mostly implemented by postgraduates. This study was conducted to evaluate the knowledge, attitude, and practice of postgraduate trainees of surgical specialties and anesthesiology regarding preoperative fasting. This observational study was conducted at a tertiary care hospital in May 2020. Consenting 166 postgraduate trainees of anesthesiology and surgical specialties was asked to respond to a questionnaire consisting of nine questions. The primary outcome was the knowledge status of postgraduate trainees regarding preoperative fasting guidelines and secondary outcomes being their attitude and practice of the same. Categorical data were presented as numbers and percentages. Results Out of 166 respondents, 149 (89.8%) and 94 (56.6%) respondents could not correctly describe the practice guidelines published by the American Society of Anaesthesiology pertaining to preoperative fasting in adult and pediatric patients respectively. Of the total respondents, 146 (87.9%) and 108 (65.1%) gave incorrect preoperative fasting instructions to adult and pediatric patients, respectively. The source of information regarding fasting guidelines was seniors amongst 89 (53.6%) respondents. Fifty-one (30.7%) respondents were unaware of the benefits of limiting preoperative fasting. Conclusions There is an imminent need for change in the knowledge, attitude, and practices of residents with regards to preoperative fasting practices. A holistic approach with formal teaching and development of SOP can achieve the change of practice of “NPO after midnight.”https://doi.org/10.1186/s42077-022-00230-5Preoperative fastingNPOPostgraduate traineesAnesthesiologySurgeonCurriculum
spellingShingle Nipun Gupta
Subhasish Patnaik
Lahareesh B. Lakkegowda
Alok Jaiswal
Deepak Dwivedi
Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
Ain Shams Journal of Anesthesiology
Preoperative fasting
NPO
Postgraduate trainees
Anesthesiology
Surgeon
Curriculum
title Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
title_full Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
title_fullStr Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
title_full_unstemmed Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
title_short Preoperative fasting: knowledge, attitude, and practice of postgraduate trainees at a tertiary care hospital—an observational study
title_sort preoperative fasting knowledge attitude and practice of postgraduate trainees at a tertiary care hospital an observational study
topic Preoperative fasting
NPO
Postgraduate trainees
Anesthesiology
Surgeon
Curriculum
url https://doi.org/10.1186/s42077-022-00230-5
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