Examinando por Autor "Sullca Quispe, Katia Milagro"

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Effectiveness of preoperative fasting in the prevention of perioperative complications
(Universidad Privada Norbert Wiener, 2017-08-05) Calero López, Yanina Margot; Sullca Quispe, Katia Milagro; Rivera Lozada de Bonilla, Oriana
Objective: To evaluate the evidence on the effectiveness of preoperative fasting in the prevention of perioperative complications. Materials and Methods: This is an observational and retrospective systematic review, which synthesizes the results of multiple primary studies. It is an essential part of evidence-based nursing due to its rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The systematic review of 10 scientific articles on the effectiveness of preoperative fasting in the prevention of perioperative complications was conducted using the following databases: Pubmed, Medline, Elsevier, and Cochrane Plus, including articles with the following study types and designs: meta-analysis (1), experimental (1), cohort (3), descriptive cross-sectional (3), and analytical cross-sectional (2). Results: Of the articles analyzed, 60% show that patients with prolonged fasting present perioperative complications, so it is recommended to reduce the duration of prolonged fasting. Additionally, 40% show that healthcare teams should be trained and follow the guidelines of the American Society of Anesthesiologists (ASA). Therefore, 100% of the articles conclude that preoperative fasting is not associated with and is not effective in preventing perioperative complications. Conclusions: The 10 articles reviewed show that preoperative fasting is not associated with and is not effective in preventing perioperative complications, and therefore, guidelines regarding the duration of total fasting and the amount of intake allowed in the preoperative period should be modified.