Two hours too long: time to review fasting guidelines for clear fluids

CE Morrison, S Ritchie-McLean, A Jha… - British Journal of …, 2020 - bjanaesthesia.org
Making multiple, small, incremental improvements across the whole of the perioperative
pathway is likely to be the best way of improving outcomes from elective surgery in the …

Gastric pH and residual volume after 1 and 2 h fasting time for clear fluids in children

AR Schmidt, P Buehler, L Seglias… - British Journal of …, 2015 - academic.oup.com
Introduction Current guidelines suggest a fasting time of 2 h for clear fluids, which is often
exceeded in clinical practice, leading to discomfort, dehydration and stressful anaesthesia …

Pro-con debate: 1-vs 2-hour fast for clear liquids before anesthesia in children

N Disma, P Frykholm, SD Cook-Sather… - Anesthesia & …, 2021 - journals.lww.com
Perioperative fasting guidelines are designed to minimize the risk of pulmonary aspiration of
gastrointestinal contents. The current recommendations from the American Society of …

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia

D Rosen, J Gamble, C Matava… - Canadian Journal of …, 2019 - Springer
To the Editor, The Canadian Pediatric Anesthesia Society (CPAS) Fasting Guidelines
Working Group was tasked by the CPAS board of directors to review contemporary fasting …

Clear fluids fasting for elective paediatric anaesthesia: the European Society of Anaesthesiology consensus statement

N Disma, M Thomas, A Afshari… - European Journal of …, 2019 - journals.lww.com
Guidelines for the management of pre-operative paediatric clear fluid fasting historically
recommend a minimum of 2 h. In particular, the published guideline from European Society …

Incidence of adverse respiratory events after adjustment of clear fluid fasting recommendations to 1 h: a prospective, observational, multi-institutional cohort study

A Schmitz, F Kuhn, J Hofmann, W Habre, T Erb… - British Journal of …, 2024 - Elsevier
Background Preoperative fasting reduces the risk of pulmonary aspiration during
anaesthesia, and 2-h fasting for clear fluids has commonly been recommended. Based on …

Gastric emptying for liquids of different compositions in children

T Du, L Hill, L Ding, AJ Towbin… - BJA: British Journal …, 2017 - academic.oup.com
Background Pre-operative fasting balances safety against patient discomfort. We compared
the gastric emptying profiles of a novel clear, high protein drink against a “traditional” clear …

Consensus statement on clear fluids fasting for elective pediatric general anesthesia

M Thomas, C Morrison, R Newton… - Pediatric …, 2018 - Wiley Online Library
Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are
currently 2 hours. The traditional 2 hours clear fluid fasting time was recommended to …

Association of a liberal fasting policy of clear fluids before surgery with fasting duration and patient well-being and safety

M Marsman, TH Kappen, LM Vernooij… - JAMA …, 2023 - jamanetwork.com
Importance Current fasting guidelines for procedures under anesthesia are poorly
implemented, leading to negative metabolic sequelae. Recent studies in children showed …

The evidence base behind modern fasting guidelines

PC Stuart - Best Practice & Research Clinical Anaesthesiology, 2006 - Elsevier
Fasting before general anaesthesia aims to reduce the volume and acidity of stomach
contents, thus decreasing the risk of regurgitation/aspiration. The objectives of the Cochrane …