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An update on Fasting for Children before surgery
Children and adults are fasted before procedures requiring sedation or general anaesthesia in the belief that this will reduce the incidence of regurgitation and possible aspiration of gastric contents into the lungs. The rationale behind this is that anaesthesia reduces protective cough reflexes, unlike natural sleep where these are maintained, making aspiration more likely. Aspiration may then cause significant morbidity associated with pneumonitis. (Mendelson 1946, Teabeaut 1952, Roberts and Shirley 1974)

Unfortunately there are many unanswered questions when it comes to these rationales and assumptions and there is a lot we do not know about fasting in healthy children.

This webinar will look at what we do know and why we have formulated current recommendations.

Our discussion will look at aspiration in children, its incidence and outcomes, and fasting for solids and breast milk in babies.

The main focus, however, will be on on clear liquid recommendations, as this is where most research has been directed. (Splinter and Schreiner 1999, Cochrane 2009, Andersson et al 2015)

By the end of the webinar, participants will have an improved understanding of:
1. Understand why we need to fast before procedures.
2. What are the problems we face when fasting children?
3. Know gastric emptying times for solids, milk and clear liquids.
4. Understand new Guidelines for Fasting.

This webinar is supported by the Australian & New Zealand College of Anaesthetists.

By registering for this webinar, you will be registered to access the Praxhub education platform and provided login details, where you can view all of Interplast’s online education for free. If you don’t wish to be registered for the Praxhub platform, please email us (education@interplast.org.au)

Sep 24, 2021 03:00 PM in Canberra, Melbourne, Sydney

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Dr Philip Ragg
Anaesthetist @The Royal Children’s Hospital, Melbourne
Philip Ragg is the Deputy Director of Anaesthesia and Pain Management at the Royal Children’s Hospital, Melbourne. He is an Associate Professor with the University of Melbourne and a Research Associate with the Murdoch Children’ Research Institute. Apart from over 25 years experience as a clinical paediatric anaesthetist he has also recently been: A member of the Victorian Consultative Council on Anaesthesia Morbidity and Mortality An Examiner with the Australian and New Zealand College of Anaesthetists and An instructor for Advanced Paediatric life Support (APLS) Australia. A Board Member for Interplast Australia Philip’s main areas of interest are paediatric cardiac surgery, plastic and general surgery, regional anaesthesia and risk management. He has had a major interest in “fasting for children” and is the author of a chapter in the journal “UpToDate” and an editorial in Paediatric Anesthesia.
Laura Oliver
Paediatric Nurse @The Royal Children's Hospital, Melbourne
Laura Oliver has worked at The Royal Children's hospital in Melbourne as a Paediatric nurse for 14 years. Prior to this she spent a number of years at The Royal Melbourne Hospital in the Short stay medical Unit.Since working at the Children's hospital Laura has worked across all areas of the Peri operative department and has developed a particular interest in improving fasting for children. Whilst working in the preoperative area she had noticed that children were arriving either incorrectly fasted or with prolonged fasting and it became clear that further investigation was needed. This work has led to providing education to the multidisciplinary team at the hospital, presenting at conferences and developing a lanyard card to be used by all staff throughout the hospital. Laura is currently working in the Preadmission department triaging and assessing patients with complex care needs.