fast after ingestion of clear liquids before general anesthesia, regional anesthesia, or procedural sedation and analgesia. Nonetheless, in children, fasting guidelines also have consequences as regards to child and parent satisfaction, hemodynamic stability, the ability to achieve vascular access, and perioperative energy balance. Despite the fact that current guidelines recommend a relatively short fasting time for clear fluids of 2 hours, the actual duration of fasting time can be significantly longer. This may be the result of deficiencies in communication regarding the duration of the ongoing fasting interval as the schedule changes in a busy operating room as well as to poor parent and patient adherence to the 2-hour guidelines. Prolonged fasting can result in children arriving in the operating room for an elective procedure being thirsty, hungry, and generally in an uncomfortable state. Furthermore, prolonged fasting may adversely affect hemodynamic stability and can result in parental dissatisfaction with the perioperative experience. In this PRO and CON presentation, the authors debate the premise that reducing the nominal minimum fasting time from 2 hours to 1 hour can reduce the incidence of prolonged fasting and provide significant benefits to children, with no increased risks....

中文翻译：

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赞成反对的辩论：儿童麻醉前 1 小时与 2 小时快速清除透明液体

在全身麻醉、区域麻醉或程序镇静和镇痛前摄入清液后禁食。尽管如此，在儿童中，禁食指南也会对儿童和父母的满意度、血流动力学稳定性、血管通路的能力和围手术期能量平衡产生影响。尽管目前的指南建议清液的禁食时间相对较短，为 2 小时，但禁食时间的实际持续时间可能要长得多。这可能是由于在繁忙的手术室中由于时间表发生变化而导致的持续禁食间隔持续时间的沟通不足，以及父母和患者对 2 小时指南的依从性不佳。长时间禁食会导致进入手术室进行选择性手术的儿童口渴，饿了，通常处于不舒服的状态。此外，长时间禁食可能会对血流动力学稳定性产生不利影响，并可能导致父母对围手术期体验的不满。在这个 PRO 和 CON 报告中，作者讨论了将名义最短禁食时间从 2 小时减少到 1 小时可以减少长期禁食的发生率并为儿童提供显着益处，同时不会增加风险的前提……