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An unserer Universit\u00e4tsklinik wurde daher eine liberale N\u00fcchternheitsregelung mit klarer Fl\u00fcssigkeit bis zum OP-Abruf (\u201e6\u20114\u20110\u201c) eingef\u00fchrt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Fragestellung<\/jats:title>\n                <jats:p>Evaluation der realen N\u00fcchternzeiten (Erfolg und Nachhaltigkeit der Umstellung) sowie Einfluss auf verschiedene Parameter wie Zufriedenheit, Agitation, Hypotension und postoperative \u00dcbelkeit und Erbrechen (PONV).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methode<\/jats:title>\n                <jats:p>Retrospektive Analyse aus QM-Daten einen Monat vor bis 6 Monate nach Einf\u00fchrung (Juni bis Dezember 2020). Anwendung von deskriptiver Statistik, Odds Ratio und Chi-Quadrat-Test.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es konnten 216 B\u00f6gen (44 vorher, 172 danach) ausgewertet werden. Die N\u00fcchternzeit konnte signifikant von 6,1 auf 4,5\u202fh reduziert werden (<jats:italic>p<\/jats:italic>\u202f=\u20090,034). Bei 47\u202f% der Patienten wurde eine N\u00fcchternzeit \u2264\u202f2h erreicht. Bei zunehmenden N\u00fcchternzeiten im Verlauf war eine erneute Erinnerung n\u00f6tig. Die Zufriedenheit konnte mit k\u00fcrzerer N\u00fcchternzeit verbessert werden (Schulnote 2,8 auf 2,2; <jats:italic>p<\/jats:italic>\u202f=\u20090,004), und pr\u00e4operative Agitation nahm ab (mod. PAED Skala 1\u20132 in 34,5\u202f% vs. 50\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,032). Hypotension trat nichtsignifikant seltener auf (7\u202f% vs. 14\u202f%, <jats:italic>p<\/jats:italic>\u202f=\u20090,26), w\u00e4hrend PONV insgesamt zu selten auftrat f\u00fcr statistische Analysen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Unsere Auswertung zeigt, dass mit Einf\u00fchrung eines liberalen N\u00fcchternheitsgebots die effektiven N\u00fcchternzeiten reduziert und die kindliche bzw. elterliche Zufriedenheit gesteigert werden k\u00f6nnen. Ein Monitoring der N\u00fcchternzeiten ist jedoch ratsam, da nach 5 Monaten erneut an die \u00c4nderungen erinnert werden musste, um den Erfolg zu bewahren.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00101-023-01303-2","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T19:01:56Z","timestamp":1687978916000},"page":"565-572","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Pr\u00e4operative N\u00fcchternheit bei Kindern\u00a0\u2013 Erfahrungen bei Einf\u00fchrung eines liberalen N\u00fcchternheitsgebotes","Preoperative fasting in children\u2014Experiences with implementing a\u00a0liberal fasting policy"],"prefix":"10.1007","volume":"72","author":[{"given":"Mathias Alexander","family":"Gerth","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yannick Maximilian","family":"Mu\u00dfmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"B\u00fcchler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik Kristoffer","family":"Hartmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Wittenmeier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,28]]},"reference":[{"issue":"1","key":"1303_CR1","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1111\/pan.13759","volume":"30","author":"AM Al-Robeye","year":"2020","unstructured":"Al-Robeye\u00a0AM, Barnard\u00a0AN, Bew\u00a0S (2020) Thirsty work: exploring children\u2019s experiences of preoperative fasting. 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