Багатоцентрове опитування практикуючих лікарів Вінницької області щодо дотримання рекомендацій із передопераційного голодування та профілактики аспірації

Abstract

Reducing the period of preoperative fasting is one of the most important principles of rapid metabolic optimization of patients within the concept of enhanced recovery after caesarean section (ERAS). Purpose - to analyze compliance by anesthesiologists with the recommendations of current protocols regarding preoperative fasting and prevention of aspiration in obstetric hospitals/departments of the city of Vinnytsia and the Vinnytsia region. Materials and methods. We conducted a multicenter survey in which 70 anesthesiologists from 21 medical institutions of Vinnytsia and Vinnytsia region, which provide assistance to obstetric patients, took part. Statistical data processing was carried out using the SPSS 21 program. Results. The results of our study show that most respondents (57.1%) recommend pregnant women to stop eating solid food 6-8 hours before cesarean section. It has been found that only 10% of anesthesiologists recommend to stop fluid intake as stated by current guidelines, i.e. 2 hours before surgery. According to the data obtained, the vast majority of respondents (85.8%) prescribe pharmacological prevention of aspiration during planned surgical interventions. Conclusions. The vast majority of anesthesiologists in Vinnytsia and Vinnytsia region follow the current recommendations of clinical guidelines regarding preoperative fasting and prevention of aspiration in obstetric patients. The research was carried out in accordance with the principles of the Declaration of Helsinki. The research protocol was approved by the Local Ethics Committee of the institution mentioned in the work. Respondents informed consent was obtained for the study. No conflict of interests was declared by the authors.