The goal of this before and after observational study is to evaluate the impact of a global sensitization campaign (targeted on surgeons, anesthetist and patients) about pre-operative fasting in an adult population. The main questions it aims to answer are: * Does the sensitization campaign reduce fasting time? * Does reduce fasting time increase quality of post-operative recovery? Sensitization campaign will be performed between the before and after phases, it will include: * Planned and repeated mandatory on site lecture about pre-operative guidelines for surgeons, anesthetists and paramedics. * Reminder display in surgical wards and consults. * Individualized fasting cards for patients. * Short message service reminder on pre-operative fasting rules for patients. * Medical fasting prescription with clear fasting times.
Study Type
OBSERVATIONAL
Enrollment
364
* Planned and repeated mandatory on site lecture about pre-operative guidelines for surgeons, anesthetists and paramedics. * Reminder display in surgical wards and consults. * Individualized fasting cards for patients. * Short message service reminder on pre-operative fasting rules for patients. * Medical fasting prescription with clear fasting times.
CHU Angers
Angers, France
Fasting time
Liquid and solid fasting time before surgery (minutes)
Time frame: Before surgery
Preoperative oral carbohydrate loading
Rate of oral cardbohydrate intake in the 2 hours preoperative period (percentage)
Time frame: 2 hours preoperative period
Fasting exceeding 12 hours
Rate of fasting duration superior to 12 hours (liquid or solid) (percentage)
Time frame: Before surgery
Preoperative anxiety
Scale of preoperative anxiety from 0 (no anxiety) to 10 (maximum anxiety possible)
Time frame: Before surgery
Preoperative discomfort
Scale of preoperative disomfort from 0 (no discomfort) to 10 (maximum discomfort possible)
Time frame: Before surgery
Feeling of thirst
Qualitative scale of preoperative thirst (none, moderate, significant)
Time frame: Before surgery
Feeling of hunger
Qualitative scale of preoperative hunger (none, moderate, significant)
Time frame: Before surgery
Preoperative nausea or vomiting
Rate of nausea or vomit in the preoperative period (percentage)
Time frame: Before surgery
Rate of postoperative nausea or vomiting
Rate of nausea or vomit during the post-operative period (percentage)
Time frame: Day of surgery
Patient satisfaction toward communication and explanation about preoperative fasting.
Binary answer (yes or no)
Time frame: Day of surgery
Post-operative quality of recovery
French Quality of Recovery 15 score (
Time frame: Day 1 after surgery
Length of stay
Length of stay (days)
Time frame: Maximum 30 days follow up
Post-operative surgical complication
Clavien-dindo classification from 0 (no complication) to 5 (death)
Time frame: Maximum 30 days follow up
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