Gastric PH and Volume After Oral Fluids in the Postpartum Patient

Overview

Journal Can J Anaesth

Specialty Anesthesiology

Date 1993 Mar 1

PMID 8467543

Citations 3

Authors

K K Lam

H Y So

T Gin

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to investigate the relationship between preoperative oral fluids and gastric pH and volume in women undergoing sterilization between one and five days postpartum. Fifty postpartum patients received 150 ml water approximately two to three hours before surgery while 50 postpartum and 50 non-pregnant women were fasted from midnight. After induction of anaesthesia, gastric contents were aspirated using a Salem sump tube and the gastric pH and volume were measured. There were no differences in intragastric pH and volume, median (range), among the postpartum fasted group, 1.19 (0.74-4.57), 22 (1-78) ml, postpartum water group 1.18 (0.70-6.4), 25.5 (3-66) ml and the non-pregnant group 1.27 (0.51-6.63), 25 (3-69) ml. There was no correlation between postpartum interval, 60 (12-120) hr, and intragastric pH or volume. It is concluded that oral water may be given safely two to three hours preoperatively to patients more than one day postpartum. Intragastric volume and acidity were not increased and the findings in postpartum patients were similar to those found in non-pregnant patients.

Citing Articles

Gastric emptying in pregnancy and its clinical implications: a narrative review.

Lawson J, Howle R, Popivanov P, Sidhu J, Gordon C, Leong M Br J Anaesth. 2024; 134(1):124-167.

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Effect of Pregnancy on Postoperative Nausea and Vomiting in Female Patients Who Underwent Nondelivery Surgery: Multicenter Retrospective Cohort Study.

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Perioperative fasting and feeding in adults, obstetric, paediatric and bariatric population: Practice Guidelines from the Indian Society of Anaesthesiologists.

Dongare P, Bhaskar S, Harsoor S, Garg R, Kannan S, Goneppanavar U Indian J Anaesth. 2020; 64(7):556-584.

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[Preoperative fasting 2008: medical behaviour between empiricism and science].

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