title: [Preoperative fluid management in pediatric patients].
abstract: Preoperative fasting period is required in order to reducing the risk of pulmonary aspiration which may occur during pediatric general anesthesia. Overnight fasting is still prevalent in Japan. Children could be easily dehydrated or have hypoglycemia after such long fasting period. American Society of Anesthesiologists (ASA) issued a simple guideline as "practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration" in 1999. Cochrane Database evaluated this guideline twice in 2005 and in 2009. In this article, recent tactics of preoperative fasting in children is reviewed along the ASA guideline and the Cochrane report.
authors.affiliation: Department of Anesthesia, Showa University Northern Yokohama Hospital, Yokohama 224-8503.
authors.forename: Megumi
authors.initials: M
authors.lastname: Hashimoto
authors.forename: Tomoko
authors.initials: T
authors.lastname: Fujii
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Serada
mesh_terms: D000284:Administration, Oral; D002648:Child; D002675:Child, Preschool; D019317:Evidence-Based Medicine; D005215:Fasting; D005440:Fluid Therapy; D006801:Humans; D007223:Infant; D017410:Practice Guidelines as Topic; D011300:Preoperative Care; D015532:Rehydration Solutions / Q000008:administration & dosage; D053120:Respiratory Aspiration / Q000517:prevention & control
chemical_list: D015532:Rehydration Solutions