[Reduced fasting time improves comfort and satisfaction of elderly patients undergoing anesthesia for hip fracture].
OBJECTIVE
Patient's satisfaction is a standard indicator of care quality. The aim of this study was to evaluate whether a preoperative oral ingestion of 200mL of a carbohydrate drink can improve comfort and satisfaction with anesthesia in elderly patients with hip fracture.


METHODS
Prospective randomized clinical trial conducted in a Brazilian public hospital, with patients ASA I-III undergoing surgery for hip fracture. The control group (NPO) received nothing by mouth after 9:00 p.m. the night before, while patients in the experimental group (CHO) received 200mL of a carbohydrate drink 2-4hours before the operation. Patients' characteristics, subjective perceptions, thirst and hunger and satisfaction were determined in four steps. Mann-Whitney U-test and Fisher exact test were used for comparison of control and experimental groups. A p-value <0.05 was considered significant.


RESULTS
A total of 100 patients were included in one of two regimens of preoperative fasting. Fasting time decreased significantly in the study group. Patients drank 200mL 2:59h before surgery and showed no hunger (p <0.00) and thirsty on arrival to OR (p <0.00), resulting in increased satisfaction with the perioperative anesthesia care (p <0.00).


CONCLUSIONS
The satisfaction questionnaire for surgical patient could become a useful tool in assessing the quality of care. In conclusion, CHO significantly reduces preoperative discomfort and increases satisfaction with anesthesia care.
Departamento de Anestesiologia da Faculdade de Medicina Nova Esperança, Anestesiologista do Complexo Hospitalar Mangabeira, João Pessoa, PB, Brasil. Electronic address: dr.imbelloni@terra.com.br.
Luiz Eduardo
LE
Imbelloni
Complexo Hospitalar Mangabeira Gov. Tarcisio Burity, João Pessoa, PB, Brasil.
Illova Anaya Nasiane
IA
Pombo
Complexo Hospitalar Mangabeira Gov. Tarcisio Burity, João Pessoa, PB, Brasil.
Geraldo Borges de Morais
GB
Filho
Fasting; Jejum; Raquianestesia; Satisfaction; Satisfação; Spinal anesthesia