T/BPM 001-2023 Guidelines for fasting management during perioperative period of elective surgery patients in orthopedics

Scope

Scope: This document applies to orthopedic surgeons, anesthesiologists, nutritionists, and nursing staff engaged in orthopedic surgery management. Main technical content: Preoperative fasting and hydration management process: (1) For patients scheduled for surgery in the morning: Patients can eat a normal dinner on the day before surgery and be given 800ml of a 12.5%-concentrated sugar-containing beverage to drink at night until 0:00 on the day of surgery. Two hours before surgery, patients can drink a total of ≤400ml of the 12.5%-concentrated sugar-containing beverage, then fast from food and water and wait for surgery. (2) For patients scheduled for surgery in the afternoon: Patients can eat a normal dinner on the day before surgery and be given 800ml of a 12.5%-concentrated sugar-containing beverage to drink at night until 0:00 on the day of surgery. At 6:00 on the day of surgery, patients can eat a small breakfast mainly consisting of starchy foods, avoiding oily and meat-based foods. Two hours before surgery, patients can drink a total of ≤400ml of the 12.5%-concentrated sugar-containing beverage, then fast from food and water and wait for surgery. (3) For patients scheduled for surgery in the evening (after 18:00): Patients can eat a normal dinner on the day before surgery and be given 800ml of a 12.5%-concentrated sugar-containing beverage to drink at night until 0:00 on the day of surgery. On the day of surgery, patients can eat breakfast and a small lunch mainly consisting of starchy foods, avoiding oily and meat-based foods. Two hours before surgery, patients can drink a total of ≤400ml of the 12.5%-concentrated sugar-containing beverage, then fast from food and water and wait for surgery. Postoperative food and water recovery process: Patients should resume oral feeding as soon as possible after surgery. The process of postoperative food and water recovery is described in Appendix B. After returning to the ward, patients who have undergone gener

Development Information

Related Standards