Application of fast track surgery in the post-operation early drinking and eating of children with under general anaesthesia

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Objective Application of fast track surgery to study the safety and feasibility of early drinking and eating of infants and children after non-gastrointestinal surgery under general anesthesia. Methods Totals of 240 cases of children with orthopedic surgery were randomly assigned into experimental group and control group. In experimental group, consciousness of sober and clear implementation of postoperative anesthesia of children were received early dietary guidance. While in control group, children were albert 4 hours and then received diet. Respectively, 2 hours after operation and l h after eating, the hunger, thirst, nausea, vomiting, cough, pain of children were assessed and compared. Results There was no significant difference in the time of consciousness of sober and the time of clear implementation of postoperative anesthesia of two groups （P 〉0.05）. There were 90.0% children had drinking and 77.5% children had eating in 2 hours after operation in the experimental group. The incidence of the sense of thirst and hunger in the postoperative 2 hours of experimental group respectively were 10. 8% and 22.5% significantly lower than 95.0% and 99.2% of control group （ χ2 = 66.5,47.0, respectively; P 〈 0.01 ）. The post-operation pain score of experimental group in 2 hours was （4.73 ± 0. 13 ）, and that of control group was （4.73 ± 0. 13 ）, and the difference was statistically significant （t = 1.86 ,P 〈 0.05 ）. No significant difference was found in the incidence of cough, nausea and vomiting in the 2 hours after operation and 1 hour after eating between two groups （ P 〉 0.05）. Conclusions The regular of paediatric orthopaedic surgery under general anesthesia after surgery in children with 4 hours eating need to amend. It is feasibility to develope early drinking and eating for postoperation children under general anesthesia on the basis of assessing sober and clear of the children. Key words: children; General anaesthesia; Fast track-surgery; Early drinking and eating