Fasting may not be required before percutaneous coronary intervention

Commentary on: Hamid T, Aleem Q, Lau Y, et al.. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61. Implications for practice and research The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting. Revision is needed of current fasting protocols. The findings of Hamid and colleagues must be confirmed by further randomised trials. Context PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are routinely kept nil-per-os/nil-by-mouth (NPO/NBM) for 6–8 h prior to PCI to minimise the risks of vomiting and bronchial aspiration. Conversely, there is a large body of evidence showing that shortening of the fasting time with either clear liquids or carbohydrate-rich beverages is not only safe but is also associated with many beneficial effects for...
Source: Evidence-Based Nursing - Category: Nursing Authors: Tags: Adult nursing, Pneumonia (infectious disease), TB and other respiratory infections, Stroke, Diet, Interventional cardiology, Ischaemic heart disease, Cardiothoracic surgery, Vascular surgery Source Type: research