{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:17:38Z","timestamp":1787840258806,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Early feeding or oral hydration post-surgery in paediatric patients has conventionally not been encouraged, with fasting periods ranging from 3 to 6 h. The primary objective of this study was to compare the Face, Legs, Activity, Cry, Consolability (FLACC) score as a surrogate for patient satisfaction in younger children between those who received early versus delayed postoperative feeding\/hydration. Secondary objectives were to compare the incidence of complications, perioperative clinical parameters and parental satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A single-blind, randomised trial was conducted in children of both genders, aged 1\u20135 years, undergoing elective surgery. Children were randomly allocated using sealed envelopes to receive either early hydration (EH) within 30 min of arrival to the post-anaesthesia care unit (PACU) or delayed standard hydration (SH) after 2 h. A rescue dose of fentanyl was given if the FLACC score was \u22656 at any time in PACU. The primary outcome was the FLACC score in PACU after 1 h. Statistical tests used were the unpaired\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test for normally distributed data, Mann\u2013Whitney\n                      <jats:italic toggle=\"yes\">U<\/jats:italic>\n                      test for non-normally distributed data and Fisher\u2019s exact test for categorical variables.\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05 was considered significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Out of the initially randomised 66 patients, 61 were finally analysed. Demographic and perioperative parameters were similar in both groups. FLACC score after 1 h in PACU was significantly lower in Group EH [1 (0.25\u20132)] than in Group SH [2 (1\u20133)] (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.028). Parental satisfaction was higher in Group EH. There were no major complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Early postoperative oral hydration is efficacious and safe compared to standard delayed feeds in children undergoing elective surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_1127_24","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T09:02:30Z","timestamp":1741856550000},"page":"365-371","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Impact of early postoperative oral hydration in paediatric patients undergoing elective surgery after general anaesthesia. A randomised controlled trial"],"prefix":"10.4103","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1913-2586","authenticated-orcid":false,"given":"Mridul","family":"Dhar","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6728-3311","authenticated-orcid":false,"given":"Jyoti","family":"Rawat","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"},{"name":"Department of Anaesthesiology, Subharti Hospital and Medical College, Dehradun, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1656-1032","authenticated-orcid":false,"given":"Yashwant S","family":"Payal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2806-1943","authenticated-orcid":false,"given":"Sanjay","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3527-789X","authenticated-orcid":false,"given":"Ruhi","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"},{"name":"Department of Anaesthesiology, People\u2019s College of Medical Sciences and Research, Bhopal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2007-7027","authenticated-orcid":false,"given":"Vaishali","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, All India Institute of Medical Sciences, Rishikesh, India"},{"name":"Department of Anaesthesiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"R1-20260422","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1186\/s12871-020-01230-4","article-title":"The safety of early administration of oral fluid following general anaesthesia in children undergoing tonsillectomy: A prospective randomised controlled trial","volume":"21","author":"Wu","year":"2021","journal-title":"BMC Anaesthesiol"},{"key":"R2-20260422","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1186\/s12871-020-01086-8","article-title":"Early versus delayed postoperative oral hydration in children following general anaesthesia: A prospective randomised trial","volume":"20","author":"Yin","year":"2020","journal-title":"BMC Anaesthesiol"},{"key":"R3-20260422","doi-asserted-by":"crossref","first-page":"979","DOI":"10.4103\/ija.IJA_407_20","article-title":"Early postoperative oral fluid intake in paediatric surgery under general anaesthesia: A randomised controlled clinical study","volume":"64","author":"Nutan","year":"2020","journal-title":"Indian J Anaesth"},{"key":"R4-20260422","doi-asserted-by":"crossref","first-page":"1066","DOI":"10.1111\/j.1460-9592.2011.03626.x","article-title":"The effect of timing and temperature of oral fluids ingested after minor surgery in preschool children on vomiting: A prospective, randomised, clinical study","volume":"21","author":"Mercan","year":"2011","journal-title":"Paediatr Anaesth"},{"key":"R5-20260422","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1016\/j.bja.2017.10.011","article-title":"Current concepts of fluid management in enhanced recovery pathways","volume":"120","author":"Makaryus","year":"2018","journal-title":"Br J Anaesth"},{"key":"R6-20260422","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1093\/bja\/aew463","article-title":"Early postoperative oral fluid intake in paediatric day case surgery influences the need for opioids and postoperative vomiting: A controlled randomised trial","volume":"118","author":"Chauvin","year":"2017","journal-title":"Br J Anaesth"},{"key":"R7-20260422","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1097\/EJA.0000000000001599","article-title":"Preoperative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care","volume":"39","author":"Frykholm","year":"2022","journal-title":"Eur J Anaesthesiol"},{"key":"R8-20260422","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1097\/ALN.0000000000004381","article-title":"2023 American Society of Anaesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Paediatric Fasting 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Consensus guidelines for the management of postoperative nausea and vomiting","volume":"118","author":"Gan","year":"2014","journal-title":"Anaesth Analg"},{"key":"R10-20260422","first-page":"28","article-title":"Nausea and vomiting after surgery","volume":"13","author":"Pierre","year":"2013","journal-title":"Continuing Educ Anaesth Crit Care Pain"},{"key":"R11-20260422","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/0952-8180(94)00001-K","article-title":"The post-anaesthesia recovery score was revisited","volume":"7","author":"Aldrete","year":"1995","journal-title":"J Clin Anaesth"},{"key":"R12-20260422","doi-asserted-by":"crossref","first-page":"e0230556","DOI":"10.1371\/journal.pone.0230556","article-title":"Effect of intraoperative Hartmann\u2019s versus hypotonic solution administration on FLACC pain scale scores in children: A prospective randomised controlled trial","volume":"15","author":"Kim","year":"2020","journal-title":"PLoS One"},{"key":"R13-20260422","doi-asserted-by":"crossref","first-page":"849969","DOI":"10.3389\/fped.2022.849969","article-title":"Parental satisfaction and associated factors toward their child\u2019s anesthesia service at a comprehensive specialized referral hospital in Ethiopia, 2021: A cross-sectional study","volume":"10","author":"Admass","year":"2022","journal-title":"Front Pediatr"}],"container-title":["Indian Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1127_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:18:44Z","timestamp":1787836724000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ija.ija_1127_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,13]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/ija.ija_1127_24","relation":{},"ISSN":["0019-5049","0976-2817"],"issn-type":[{"value":"0019-5049","type":"print"},{"value":"0976-2817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,13]]},"assertion":[{"value":"2024-10-30","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}