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Adult nursing
Quantitative study—other
Fasting may not be required before percutaneous coronary intervention
  1. Jose Eduardo de Aguilar-Nascimento1,
  2. Gibran R Feguri2
  1. 1Department of Medicine, University of Varzea Grande (UNIVAG), Cuiaba, Mato Grosso, Brazil
  2. 2Federal University of Mato Grosso, Cuiaba, Brazil
  1. Correspondence to : Dr Jose Eduardo de Aguilar-Nascimento, Department of Medicine, University of Varzea Grande (UNIVAG), Rodovia Helder Candia Condominio Country casa 15, Cuiaba, Mato Grosso 78048-150, Brazil; aguilar{at}terra.com.br

https://doi.org/10.1136/eb-2014-101904

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    Commentary on: Hamid T, Aleem Q, Lau Y, et al. Pre-procedural fasting for coronary interventions: is it time to change practice? Heart 2014;100:658–61.OpenUrlAbstract/FREE Full Text

    Implications for practice and research

    • The results of this study suggest that percutaneous coronary intervention (PCI) can be safely conducted without preprocedural fasting.

    • Revision is needed of current fasting protocols.

    • The findings of Hamid and colleagues must be confirmed by further randomised trials.

    Context

    PCI is currently performed in hospitals around the world. This procedure is generally conducted with light sedation and local anaesthesia. Patients are routinely kept nil-per-os/nil-by-mouth (NPO/NBM) for 6–8 h prior to PCI to minimise the risks of vomiting and bronchial aspiration. Conversely, there is a …

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    Footnotes

    • Competing interests None.