Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis
Abstract Background Early water intake has gained widespread attention considering enhanced recovery after surgery (ERAS). In the present systematic evaluation and meta-analysis, we assessed the effects of early water intake on the incidence of vomiting and aspiration in adult patients who received...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-04-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-024-02520-x |
| _version_ | 1797209151808471040 |
|---|---|
| author | Suwan Dai Lingyan Chen Min Wu Liangyou Guo Rong Wang |
| author_facet | Suwan Dai Lingyan Chen Min Wu Liangyou Guo Rong Wang |
| author_sort | Suwan Dai |
| collection | DOAJ |
| description | Abstract Background Early water intake has gained widespread attention considering enhanced recovery after surgery (ERAS). In the present systematic evaluation and meta-analysis, we assessed the effects of early water intake on the incidence of vomiting and aspiration in adult patients who received general anaesthesia on regaining consciousness during the resuscitation period. Objective To systematically analyse the results of randomised controlled trials on early postoperative water intake in patients who underwent different types of surgery under general anaesthesia, both at home and abroad, to further explore the safety and application of early water intake and provide an evidence-based foundation for clinical application. Design Systematic review and meta-analysis. Methods To perform the systematic evaluation and meta-analysis, we searched the Web of Science, CINAHL, Embase, PubMed, Cochrane Library, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and Vipshop databases to identify randomised controlled trial studies on early water intake in adult patients who received general anaesthesia. Results Herein, we included 10 publications with a total sample size of 5131 patients. Based on statistical analysis, there was no statistically significant difference in the incidence of vomiting (odds ratio [OR] = 0.81; 95% confidence interval [CI] [0.58–1.12]; p = 0.20; I-squared [I2] = 0%) and aspiration (OR = 0.78; 95%CI [0.45–1.37]; p = 0.40; I2 = 0%) between the two groups of patients on regaining consciousness post-general anaesthesia. Conclusion Based on the available evidence, early water intake after regaining consciousness post-anaesthesia did not increase the incidence of adverse complications when compared with traditional postoperative water abstinence. Early water intake could effectively improve patient thirst and facilitate the recovery of gastrointestinal function. |
| first_indexed | 2024-04-24T09:50:09Z |
| format | Article |
| id | doaj.art-a78e4597de124117a9ac234edf47e822 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-04-24T09:50:09Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-a78e4597de124117a9ac234edf47e8222024-04-14T11:27:25ZengBMCBMC Anesthesiology1471-22532024-04-0124111410.1186/s12871-024-02520-xTiming of early water intake post-general anaesthesia: a systematic review and meta-analysisSuwan Dai0Lingyan Chen1Min Wu2Liangyou Guo3Rong Wang4Zhejiang Chinese Medical UniversityZhejiang Chinese Medical UniversityZhejiang Chinese Medical UniversityZhejiang Chinese Medical UniversityThe First Hospital of JiaxingAbstract Background Early water intake has gained widespread attention considering enhanced recovery after surgery (ERAS). In the present systematic evaluation and meta-analysis, we assessed the effects of early water intake on the incidence of vomiting and aspiration in adult patients who received general anaesthesia on regaining consciousness during the resuscitation period. Objective To systematically analyse the results of randomised controlled trials on early postoperative water intake in patients who underwent different types of surgery under general anaesthesia, both at home and abroad, to further explore the safety and application of early water intake and provide an evidence-based foundation for clinical application. Design Systematic review and meta-analysis. Methods To perform the systematic evaluation and meta-analysis, we searched the Web of Science, CINAHL, Embase, PubMed, Cochrane Library, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and Vipshop databases to identify randomised controlled trial studies on early water intake in adult patients who received general anaesthesia. Results Herein, we included 10 publications with a total sample size of 5131 patients. Based on statistical analysis, there was no statistically significant difference in the incidence of vomiting (odds ratio [OR] = 0.81; 95% confidence interval [CI] [0.58–1.12]; p = 0.20; I-squared [I2] = 0%) and aspiration (OR = 0.78; 95%CI [0.45–1.37]; p = 0.40; I2 = 0%) between the two groups of patients on regaining consciousness post-general anaesthesia. Conclusion Based on the available evidence, early water intake after regaining consciousness post-anaesthesia did not increase the incidence of adverse complications when compared with traditional postoperative water abstinence. Early water intake could effectively improve patient thirst and facilitate the recovery of gastrointestinal function.https://doi.org/10.1186/s12871-024-02520-xEarly water intakeGeneral anaesthesiaResuscitation periodEnhanced recovery after surgery |
| spellingShingle | Suwan Dai Lingyan Chen Min Wu Liangyou Guo Rong Wang Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis BMC Anesthesiology Early water intake General anaesthesia Resuscitation period Enhanced recovery after surgery |
| title | Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis |
| title_full | Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis |
| title_fullStr | Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis |
| title_full_unstemmed | Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis |
| title_short | Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis |
| title_sort | timing of early water intake post general anaesthesia a systematic review and meta analysis |
| topic | Early water intake General anaesthesia Resuscitation period Enhanced recovery after surgery |
| url | https://doi.org/10.1186/s12871-024-02520-x |
| work_keys_str_mv | AT suwandai timingofearlywaterintakepostgeneralanaesthesiaasystematicreviewandmetaanalysis AT lingyanchen timingofearlywaterintakepostgeneralanaesthesiaasystematicreviewandmetaanalysis AT minwu timingofearlywaterintakepostgeneralanaesthesiaasystematicreviewandmetaanalysis AT liangyouguo timingofearlywaterintakepostgeneralanaesthesiaasystematicreviewandmetaanalysis AT rongwang timingofearlywaterintakepostgeneralanaesthesiaasystematicreviewandmetaanalysis |