Prospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 6, 2022; 10(16): 5287-5296
Published online Jun 6, 2022. doi: 10.12998/wjcc.v10.i16.5287
Enhanced recovery after surgery strategy to shorten perioperative fasting in children undergoing non-gastrointestinal surgery: A prospective study
Yan Ying, Hong-Zhen Xu, Meng-Lan Han
Yan Ying, Hong-Zhen Xu, Meng-Lan Han, Department of General Surgery, Children's Hospital of Zhejiang University School of Medicine, Hangzhou 310052, Zhejiang Province, China
Author contributions: Ying Y and Xu HZ were responsible for the manuscript conceptualization, methodology, resources, software, and supervision; Ying Y and Han ML took charge of data curation, investigation, and project administration; Ying Y was responsible for funding acquisition and manuscript writing, reviewing, and editing; Han ML was responsible for formal analysis, validation, and visualization.
Supported by the Health Science and Technology Plan of Zhejiang Province in 2022, No. 2022KY867.
Institutional review board statement: The study was reviewed and approved by the Ethics Committee of the Children’s Hospital, Zhejiang University School of Medicine Institutional Review Board (Approval No. 2018-IRB-095).
Informed consent statement: All children and their guardians provided informed consent for the study.
Conflict-of-interest statement: The authors of this manuscript have no conflicts of interest to disclose.
Data sharing statement: There is no additional data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Zhen Xu, MS, Department of General Surgery, Children's Hospital of Zhejiang University School of Medicine, No. 3333 Bingsheng Road, Binjiang Distract, Hangzhou 310052, Zhejiang Province, China. azureming@zju.edu.cn
Received: November 23, 2021
Peer-review started: November 23, 2021
First decision: March 23, 2022
Revised: April 2, 2022
Accepted: April 29, 2022
Article in press: April 29, 2022
Published online: June 6, 2022
Core Tip

Core Tip: This study aimed to evaluate the effects of new perioperative fasting protocols in children > 3 mo of age undergoing non-gastrointestinal surgery. Through multi-disciplinary collaboration and information transformation, it is possible to optimize the fasting and clear fluid drinking process before non-gastrointestinal surgery in children > 3 mo of age. For children with non-gastrointestinal surgery, it is also safe and feasible to start early eating after evaluating the recovery from anesthesia and the swallowing function.