I am a student in Georgetown University’s Family Nurse Practitioner Program. I currently work in an Electrophysiology Lab. Here is how my thinking for picking my topic began:
My Picot question is as follows: In preoperative adult patients, does drinking clear fluids up until 2 hours before surgery increase any risks before, during, and after the procedure, compared to those patients who did not eat or drink since midnight, while increasing patient well being? My population is preoperative adult patients. The intervention is drinking clear fluids up until 2 hours before surgery. Clear fluids can consist of but is not limited to juices, soda, Gatorade type drinks, coffee without creamer, ice chips, tea, and broth. The comparison involves the patients that were NPO, which is nothing to eat or drink, since midnight before their surgery. The outcome I hope to see is that patients are able to drink clear liquids up until 2 hours before procedures without any associated surgical risks. Surgical risks could be but are not limited to aspiration during or after procedure, increased insulin resistance leading to infection, or infection on its own. The time frame I’m looking at is the perioperative, which is before, during, and after surgery, period. Inclusion criteria included cases that looked at an oral liquid intervention such as carbohydrate fluid, 2-3 hours before a procedure. Exclusion criteria included pediatric cases and cases that were not given in English, along with not having full text availability. My hopes are that by finding out that there is no associated risks, patients will be able to drink clear fluids up until 2 hours before their surgery which could decrease their anxiety about the surgery itself.
Breuer, J.P., Dossow, V., Heymann, C., Griesbach, M., Schickfus, M., Mackh, E., Hacker, C., Elgeti, U., Konertz, W., Wernecke, K.D., Spies, C.D....