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A 2 week old infant is receiving breast milk fortified with formula. He is scheduled for inguinal hernia repair. What is the appropriate NPO time prior to surgery?

a) The patient is 2 weeks old and NPO guidelines do not apply

b) 2 hours

c) 4 hours

d) 6 hours

e) 8 hours

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Answer

Answer d. While breast milk alone would require 4 hours of NPO time, this infant is receiving formula as well, which requires a 6 hour NPO time due to slower gastric emptying.

Notes

This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.

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