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International Journal of Nutrology
Case Report
DOI: 10.1055/s-0040-1705284
Submitted: 02-13-2022
Published: 02-13-2022

Descrição do Tempo de Jejum Pré-Procedimentos em um Serviço de Oncologia Pediátrica

Nutricionista. Especialista em Nutrição em Oncologia pelo Instituto de Educação e Pesquisa do Hospital Moinhos de Vento, Porto Alegre (RS), Brasil
Nutricionista. Mestre em Saúde da Criança e do Adolescente pela Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre (RS), Brasil
Médico. Doutor em Ciências médicas: Pediatria. Chefe do Serviço de Oncologia Pediátrica do Hospital de Clínicas de Porto Alegre e Docente do Programa de Pós-graduação em Saúde da Criança e do Adolescente, Porto Alegre (RS), Brasil
Nutricionista. Doutora em Saúde da Criança e do Adolescente pela Universidade Federal do Rio Grande do Sul. Nutricionista clínica do Serviço de nutrição e dietética, HCPA, Porto Alegre (RS), Brasil
fasting medical oncology pediatrics preoperative care

Abstract

Introduction: Shortening the duration of preoperative fasting is one of the current nutritional cares related to surgical patients. The metabolic response to surgical trauma may be enhanced by fasting. The description of the actual time of pre-procedure fasting allows us to review old paradigms. Therefore, the aim of this study was to describe the practices in relation to the pre-procedure fasting time in a Pediatric Oncology Unit. Methods: Retrospective descriptive study, consultation of medical records, including patients aged between zero and 18 years who were admitted to the Pediatric Oncology Unit, diagnosed with cancer, who started fasting for tests or elective surgical procedures between July and September of 2014. Results: A total of 30 patients, 57% female, with an average age of 9 years (± 5 years) were included. The most common diagnoses were leukemia (40%), lymphoma (13%) and osteosarcoma (13%) and neuroblastoma (13%). The most common procedures performed were: placement of totally implantable catheter, bone marrow biopsy and intrathecal chemotherapy. All patients had a preprocedure fasting time greater than or equal to 6 hours; 66% of these patients fasted for 10h or more hours, and 23% had to fast for 12 hours or more. Conclusion: No patient had their pre-procedure fasting according to current guidelines. Our expectation is that abbreviation of preoperative fasting be considered and that it reduce physical symptoms and metabolic changes.

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How to Cite

Lewandowski, C. G., Valmórbida, J., Gregianin, L. J., & Cruz, L. B. da. (2022). Descrição do Tempo de Jejum Pré-Procedimentos em um Serviço de Oncologia Pediátrica. International Journal of Nutrology, 10(2), 16–21. https://doi.org/10.1055/s-0040-1705284