|COMMENTS ON PUBLISHED ARTICLE
|Year : 2020 | Volume
| Issue : 1 | Page : 84
Supplement information of fasting time for obese children
Binbin Zhu, Yu Gui
Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, Ningbo, China
|Date of Submission||13-Sep-2019|
|Date of Decision||27-Oct-2019|
|Date of Acceptance||28-Oct-2019|
|Date of Web Publication||7-Jan-2020|
Dr. Binbin Zhu
Department of Anesthesia, The Affiliated Hospital of Medical School of Ningbo University, 247#Renmin Road, Jiangbei District, Ningbo, 315020
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Zhu B, Gui Y. Supplement information of fasting time for obese children. Indian J Anaesth 2020;64:84
We have just read the article 'Operative fasting guidelines and postoperative feeding in paediatric anaesthesia - current concepts' 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, 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.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Toms AS, Rai E. Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts. Indian J Anaesth 2019;63:707-12.
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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.
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.