Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
All junior anaesthetists and 64.3% of intern medical officers (IMO) had above satisfactory level of knowledge
58.3% of anaesthetists and none of the nurses or IMOs have adhered to guidelines. 81% patients stated that they would refuse a meal at 2 am but 66% would have appreciated a cup of tea 2 hours before surgery
Failure of implementation of guidelines is mainly due to inadequate knowledge and poor attitude among ward staff
Summary
Prolonged period of preoperative fasting has been the accepted practice until recently and “nil per oral” after midnight of the day before surgery was recommended in the late 1940’s when a high incidence of pulmonary aspiration of gastric contents was discovered among obstetric patients undergoing general anaesthesia. The ASA practice guidelines for preoperative fasting in healthy patients undergoing elective procedures, revised in 1999, recommend a fasting period of 2 hours for clear fluids, 6 hours for solids allowing a light meal 6 hours before and a heavier meal 8 hours before the procedure. The ASA practice guidelines for preoperative fasting in healthy patients undergoing elective procedures, revised in 1999, recommend a fasting period of 2 hours for clear fluids, 6 hours for solids allowing a light meal 6 hours before and a heavier meal 8 hours before the procedure1 Based on this the Ministry of Health of Sri Lanka in collaboration with the College of Anaesthesiologists of Sri Lanka developed a national guideline regarding preoperative preparation including preoperative fasting under the World Bank project. This study evaluates the knowledge, current practices and compliance with guidelines
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