Fasting guidelines may not affect procedural sedation, complications in pediatric patients
Click Here to Manage Email Alerts
No differences in sedation-related complications were found between fasted and non-fasted pediatric surgery patients, according to results presented at the Pediatric Orthopaedic Society of North America Annual Meeting.
“Our study was designed to compare the ASA (American Society of Anesthesiologists) and the ACEP (American College of Emergency Physicians) fasting guidelines for orthopedic procedural sedation in the emergency department,” said Derek Michael Kelly, MD, who presented findings of his consecutive retrospective review at the 2020 POSNA Annual Meeting, which was held as a virtual meeting.
From February 2011 to July 2018, Kelly and colleagues analyzed 2, 674 patients who underwent procedural sedation from a high-volume pediatric ED.
“We had three main groups. We had the fasting group, those children who showed up to the ER already fasted according to the ASA guidelines; the non-fasting group, those who had the procedural sedation outside of the guidelines; and the wait-to-fast group, those who had to wait to receive their fasting,” Kelly said in his presentation.
“Most importantly, we did not find any differences in adverse outcomes across all of the events that we looked at,” he said.
However, there was a significant difference in time (approximately 80 minutes or longer) from admission to sedation and overall length of stay in the wait-to-fast group, according to Kelly.
“If all of the children who showed up to the emergency department were required to wait till fasting, this would have accounted for 61 additional days of wait time across our study,” he said.
“We concluded that the procedural sedation adverse outcomes are rare,” Kelly said. “These are similar regarding which fasting guideline you utilize, but length of stay is quite a bit shorter if you follow the ACEP guidelines.”
Collapse
Sawyer JR, et al. Paper 62. Presented at: Pediatric Orthopaedic Society of North America Annual Meeting; May 13, 2020 (virtual meeting).
Read more about
Click Here to Manage Email Alerts