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RACS ASC 2024

Goodbye FFMN, lets choose EU2WU6 “Eat until 0200, Water until 0600” An audit of optimised fasting regime through a widespread education campaign.

Verbal Presentation

Verbal Presentation

2:50 pm

09 May 2024

Dobson 3

RESEARCH PAPERS

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Institution: Launceston General Hospital - Tasmania, Australia

Background: “Fast from midnight” (FFMN) has remained widely utilised due to traditional teaching despite Anaesthetic guidelines demonstrate widespread support for reduced pre-anaesthetic fasting protocols. This study implemented a widespread education campaign and subsequent audit of preoperative fasting reduction program for all surgery patients, at the Launceston General Hospital following, measuring effect on fasting times and intravenous fluid (IVF) usage. Methods: An education campaign was commenced to promote “Eat until 0200, Water until 0600” for optimised fasting. Adult patients who underwent preoperative fasting from October to December, 2023, were screened, with protocol uptake recorded. Further, total fasting times (TFT) and IVF use were recorded. Results: Uptake of EU2WU6 was recorded finding increased use of EU2WU6, with savings in fasting time, IV bag usage and overall hospital costs. The novel protocol was widely embraced by members of all levels of anaesthetic surgical and nursing hierarchy. Conclusion: This hospital based education campaign demonstrated positive impact of hospital education on tangible clinical practice outcomes. This offers incentive and evidence that invested medical staff, with allied health collaboration have potential to revolutionise fasting culture which can in turn optimise multiple measurable outcomes.

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Dr Ashley Draper - , Dr Kristy Mansour - , Dr Bethanie Trainor - , Dr Hung Nguyen - , Dr Benjamin Loveday -