Timing of early water intake post-general anaesthesia: a systematic review and meta-analysis
Dai S, Chen L, Wu M, Guo L, Wang R
BMC anesthesiology · 7 citations
How it was studied
- Design
- Meta-analysis (indexed by PubMed)
- Studied in
- People
- Main outcome
- Clinical events such as disease or death
Who paid for it
- Funding
- Independent funding
- University or hospital
- The First Hospital of Jiaxing
Based on 1 listed funder(s) and full-text disclosure statement.
Publication
- Published
- 2024-04-09 · BMC Anesthesiol · vol. 24 · issue 1 · p. 135
- Publisher
- BioMed Central
- Cited
- 10 citations · more than 79% of similar papers · 1.6× the field average
- References
- 33 works
- Access
- Open access (journal) · CC-BY
- Research areas
- Enhanced Recovery After Surgery · Nausea and vomiting management · Music Therapy and Health
- Keywords
- Medicine, Cochrane Library, Meta-analysis, Incidence (geometry), General anaesthesia, Confidence interval, Anesthesiology, Odds ratio, Anesthesia, Vomiting, Adverse effect, CINAHL, MEDLINE, Randomized controlled trial, Systematic review, Surgery, Internal medicine, Psychological intervention, Nursing
- MeSH
- humans, postoperative complications, anesthesia, general, drinking, time factors, randomized controlled trials as topic
5 authors
From CN
- Suwan DaiZhejiang Chinese Medical University
- Lingyan ChenZhejiang Chinese Medical University
- Min WuZhejiang Chinese Medical University
- Liangyou GuoZhejiang Chinese Medical University
- Rong Wang · correspondingFirst Hospital of Jiaxing
Abstract
Background
Early water intake has gained widespread attention considering enhanced recovery after surgery (ERAS). In the present systematic evaluation and meta-analysis, we assessed the effects of early water intake on the incidence of vomiting and aspiration in adult patients who received general anaesthesia on regaining consciousness during the resuscitation period.
Objective
To systematically analyse the results of randomised controlled trials on early postoperative water intake in patients who underwent different types of surgery under general anaesthesia, both at home and abroad, to further explore the safety and application of early water intake and provide an evidence-based foundation for clinical application.
Design
Systematic review and meta-analysis.
Methods
To perform the systematic evaluation and meta-analysis, we searched the Web of Science, CINAHL, Embase, PubMed, Cochrane Library, Sinomed, China National Knowledge Infrastructure (CNKI), Wanfang, and Vipshop databases to identify randomised controlled trial studies on early water intake in adult patients who received general anaesthesia.
Results
Herein, we included 10 publications with a total sample size of 5131 patients. Based on statistical analysis, there was no statistically significant difference in the incidence of vomiting (odds ratio [OR] = 0.81; 95% confidence interval [CI] [0.58-1.12]; p = 0.20; I-squared [I2] = 0%) and aspiration (OR = 0.78; 95%CI [0.45-1.37]; p = 0.40; I2 = 0%) between the two groups of patients on regaining consciousness post-general anaesthesia.
Conclusion
Based on the available evidence, early water intake after regaining consciousness post-anaesthesia did not increase the incidence of adverse complications when compared with traditional postoperative water abstinence. Early water intake could effectively improve patient thirst and facilitate the recovery of gastrointestinal function.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY).
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