Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
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During the last decade, questions about the length of time patients were required to fast before elective operations, as well as when they should resume oral fluids after an outpatient operation, became important issues in anesthesia and surgical practice. This review analyzes reasons for the traditional fasting guidelines and presents recent evidence that has caused rethinking in the guidelines. Current recommendations regarding both the presurgical fasting guidelines and fluid intake requirements for discharge after outpatient surgery are outlined.
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J. Perianesth. Nurs. · Jun 1997
Review Case ReportsTotal spinal anesthesia after an interscalene block.
A case study is presented involving a 22-year-old male who developed total spinal anesthesia after interscalene blockade for an arthroscopic procedure of the shoulder. An understanding of the anatomical structures of the brachial plexus, autonomic nervous system function, and side effects of local anesthetics is presented to assist the perianesthetic nurse in assessing and anticipating patient needs and in clinical decision making.