Research for nursing practice - Pre operative fasting Literature review

Research for nursing practice - Pre mechanic desist - Literature review ExampleThe pathophysiological basis of the aspiration pneumonia was the aspiration of acidic stomach content into the lungs and the consequent harmful damage to the lung tissues known as chemical pneumonia. As the years went by, the innovative techniques of anesthesia including the endotracheal intubation led to rethinking on the duration of abstain times. Frequent discussion and research led to the Guidelines from the olympian College of Anaesthetists, the Royal College of Nurses and the Anaesthetists of the US they stipulated specific periods for fasting for worldwide use (AAGBI, 2001 RCN, 2005 ASA Practice guidelines, 1999). The guidelines sanctioned the shortening of the pre-operative fasting durations but the message was not taken in the right spirit by the nurses and the longanimouss did not please the benefit. The nurses were the ones who instructed the patients about the fasting. Promotion of evide nce-based fasting times was to be enforced by them (Crenshaw, 2008). They also had to monitor the patients compliance. The scientific evidence related to the liberalized fasting times were to be initially understood by the nurses themselves before efficacious implementation. Research indicated many fallacies in the system whereby fasting practices were still not conform to the guidelines. Medication instructions also were not accurately transferred to patients (Crenshaw, 2008). Recent researches were moving away from the strict fasting regimen to a partial tone fasting method whereby a carbohydrate drink or oral examination carbohydrate nutrients were administered to improve the outcomes of procedure. The nurses were the ones who actually conveyed the right information about the fasting to the patients. The role of the nurses also voluminous the promoting of evidenced-based guidelines apart from monitoring the patients to check for compliance and untoward effects (Crenshaw and W inslow, 2006).This paper will be pen with the intention of unearthing evidence suitable to provide more alterations in the implementation of pre-operative fasting or partial fasting to conform to the evidence-based guidelines. The aim of this research will be to search for methods that could ensure that the elective surgery patients had the benefit of shorter pre-operative fasting times as per guidelines and the improved outcomes of having the pre-carbohydrate drink and how the nurses were to be encouraged to conscientiously make their work where the pre-operative fasting was concerned. Review of RCTs Brady et al (2003) studied 22 randomised control trials or quasi(prenominal) RCTs. Healthy patients were included as the controls. Permitted intake of food was a small breakfast in the good morning before surgery posted for the afternoon. Liquid intake was limited to not more than 30 ml. to religious service swallow medicine. Methodological quality was maintained by the randomisati on method. Allocation concealment, blinding, a prior examine size calculation, and whether analysis was by intention to treat were additional methods of maintaining quality (Brady et al, 2003). Regurgitation and aspiration were complications average after the surgery and death was a possibility in many trials. The review of the research articles revealed many limitations. The RCTs were mostly small sampled trials with less than 100 patients. The quality of methodology was inadequate in some trials. The classification in the populations too was minimal and the samples were