Peds fasting duration not tied to adverse sedation outcomes

Peds fasting duration not tied to adverse sedation outcomes
(HealthDay)—For children undergoing procedural sedation for a painful procedure, fasting duration is not associated with adverse events, according to a study published online May 7 in JAMA Pediatrics.

Maala Bhatt, M.D., from the Children's Hospital of Eastern Ontario in Ottawa, Canada, and colleagues conducted a planned secondary analysis of a involving children aged 0 to 18 years who received procedural for a painful procedure in six pediatric emergency departments. A total of 6,183 children were included in the analysis; of these, 48.1 and 5 percent did not meet American Society of Anesthesiologists fasting guidelines for solids and liquids, respectively.

The researchers found that there were no cases of pulmonary aspiration. A total of 717 occurred (11.6 percent), of which 68 (1.1 percent) and 315 (5.1 percent) were serious adverse events and vomiting, respectively. There was no significant change in the odds ratio of occurrence of any adverse event, serious adverse event, and vomiting with each additional hour of fasting duration for solids and liquids.

"In this study, there was no association between fasting duration and any type of adverse event," the authors write. "These findings do not support delaying sedation to meet established guidelines."


Explore further

Researchers identify practices leading to safer outcomes in procedural sedation for children

More information: Abstract/Full Text
Editorial (subscription or payment may be required)
Journal information: JAMA Pediatrics

Copyright © 2018 HealthDay. All rights reserved.

Citation: Peds fasting duration not tied to adverse sedation outcomes (2018, May 9) retrieved 22 April 2019 from https://medicalxpress.com/news/2018-05-peds-fasting-duration-tied-adverse.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
3 shares

Feedback to editors

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more