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COMMENTS ON PUBLISHED ARTICLE
Year : 2020  |  Volume : 64  |  Issue : 1  |  Page : 84  

Supplement information of fasting time for obese children


Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, China

Date of Submission13-Sep-2019
Date of Decision27-Oct-2019
Date of Acceptance28-Oct-2019
Date of Web Publication7-Jan-2020

Correspondence Address:
Dr. Binbin Zhu
Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, 247#Renmin Road, Jiangbei District, Ningbo, 315020
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ija.IJA_698_19

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How to cite this article:
Zhu B, Gui Y. Supplement information of fasting time for obese children. Indian J Anaesth 2020;64:84

How to cite this URL:
Zhu B, Gui Y. Supplement information of fasting time for obese children. Indian J Anaesth [serial online] 2020 [cited 2020 Jan 27];64:84. Available from: http://www.ijaweb.org/text.asp?2020/64/1/84/275229



Dear Editors,

We have just read the article 'Operative fasting guidelines and postoperative feeding in paediatric anaesthesia - current concepts'[1] and we really appreciate the liberal approach of 1-hour fasting period for clear fluids. However, we noticed that the authors did not discuss the situation of obese children in the section of special situations, which is actually a real big concern in our daily practice. My colleague and I have both encountered a situation of vomiting of gastric contents immediately after induction of anaesthesia in obese children undergoing urogenital surgery. These children did not develop aspiration because of doing suction in time and proper positioning. Quitadamo et al. reported a high percentage of obese children and adolescents experiencing gastro-oesophageal reflux disease symptoms,[2] which raised the concern of prolonging the fasting time for obese paediatric patients. We all know that both India and China have the highest number of obese children, so it would be very useful if the authors could supplement information of fasting time for this special group of children.[3]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Toms AS, Rai E. Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts. Indian J Anaesth 2019;63:707-12.  Back to cited text no. 1
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2.
Quitadamo P, Zenzeri L, Mozzillo E, Cuccurullo I, Rocco A, Franzese A, et al. Gastric emptying time, esophageal pH-impedance parameters, quality of life, and gastrointestinal comorbidity in obese children and adolescents. J Pediatr 2018;194:94-9.  Back to cited text no. 2
    
3.
Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, et al. Health effects of overweight and obesity in 195 Countries over 25 Years. N Engl J Med 2017;377:13-27.  Back to cited text no. 3
    




 

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