The Effect of Early Feeding of Full Liquids on Postoperative Infants

Carolyn Kiolbasa, Apurva Chaturvedi, Colleen Ryan, Linda Johnsen, B. Schmidt, J. Schroeder, P. Birmingham, R. Manworren
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Abstract

Abstract There is a lack of evidence-based guidance for postoperative feeding of infants after outpatient surgeries. This randomized controlled trial tested the hypothesis that infants, aged ≤12 months who are fed formula or milk at home, will have more oral intake, less pain, and less emergence delirium when fed formula/milk as compared with clear liquids in the postanesthesia care unit. Infants were randomized to receive formula/milk or clear liquids as first feeding after outpatient myringotomy and tube insertion. Pain (Faces, Legs, Activity, Cry, and Consolability) and emergence delirium (Pediatric Anesthesia Emergence Delirium) scores were recorded and compared immediately and again 15 and 30 minutes after arrival in the postanesthesia care unit. Infants randomized to the formula/milk first-feeding group had significantly more volume of oral feeding intake than infants randomized to the clear liquid first-feeding group (M = 80.5 ml, 95% CI [15, 146], p = .017). There was no significant difference in vomiting, pain scores, or emergence delirium scores between groups. These results support the practice of ad lib feeding of infants who preferred full liquids after outpatient surgical procedures.
术后婴儿早期全液体喂养的影响
摘要门诊手术后婴儿术后喂养缺乏循证指导。这项随机对照试验检验了这样一种假设,即与麻醉后护理室的透明液体相比,在家喂养配方奶粉或牛奶的≤12个月婴儿,在喂养配方奶粉/牛奶时,会有更多的口腔摄入、更少的疼痛和更少的谵妄出现。婴儿被随机分配接受配方奶粉/牛奶或清澈液体作为门诊鼓膜切开术和插管后的第一次喂养。在到达麻醉后护理室15和30分钟后,立即记录并再次比较疼痛(面部、腿部、活动、哭泣和可安慰性)和苏醒期谵妄(儿科麻醉苏醒性谵妄)评分。被随机分配到配方奶粉/牛奶优先喂养组的婴儿的口服喂养量明显高于被随机分配给清液优先喂养组(M=80.5 ml,95%CI[15146],p=.017)。两组之间在呕吐、疼痛评分或出现谵妄评分方面没有显著差异。这些结果支持了对门诊手术后喜欢全液体的婴儿进行随意喂养的做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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