Preoperative Fasting

This is a Stub Notice. This page has not been completed. You can work on this page by signing in and going to the Edit tab. Thanks for helping to make PedsAnesthesia.Net Wiki useful.

Go to the Main Page to see the Topic Outline.

Go to the Generalized Suggested Outline for information on case-specific details for each page.

Go to the Test Page for examples on how to use references in the page.

Relevant Article Depot:

NPO

Guidelines:

2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting*

2023 Canadian Pediatric Anesthesia Society Statement on fasting for elective pediatric anesthesia

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Guideline on anaesthesia and sedation in breastfeeding women 2020

Preoperative fasting in children: review of existing guidelines and recent developments

The rationale for the recommendations of the European Paediatric Fasting Guideline: Improving paediatric anaesthesia and perioperative medicine

Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care

Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis

UpToDate: Preoperative fasting in children and infants

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2766509

https://bjanaesthesia.org/article/S0007-0912(21)00111-2/fulltext

https://link.springer.com/article/10.1007/s12630-019-01382-z

https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2766011

From PAAD

Preoperative fasting in children

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

Anesthesia & Breastfeeding: More Often Than Not, They Are Compatible

Ultrasound Insights into Neonatal Fasting: Get in the NP-Know

ABM Clinical Protocol #15: Analgesia and Anesthesia for the Breastfeeding Mother, Revised 2017

The thirst for improvement: ensuring shorter and safer pre-operative fasting times in children

Effect of a carbohydrate lollipop on the gastric volume of fasted pediatric patients

Relationship between Fasting Times and Emergence Delirium in Children Undergoing Magnetic Resonance Imaging under Sedation

Acute Intraoperative Pulmonary Aspiration

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017 Mar;126(3):376-393.

Frykholm P, Disma N, Andersson H, Beck C, Bouvet L, Cercueil E, Elliott E, Hofmann J, Isserman R, Kaucane A, Kuhn F, de Queiroz Siqueira M, Rosen D, Rudolph D, Schmidt AR, Schmitz A, Stocki D, Sumpelmann R, Stricker PA, Thomas M, Veyckemans F, Afshari A. Preoperative fasting in children: guideline from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol 2022; 39:4–25.

Disma N, Frykholm P, Cook-Sather SD, Lerman J. Pro-con debate: 1- vs. 2-hour fast for clear liquids before anesthesia in children. Anesth Anal 2021; 133:581-91.

Determining residual gastric volume in healthy children using ultrasound

Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours: A Randomized Controlled Trial

Joshi GP, Abdelmalak BB, Weigel WA, et al. 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration-A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting. Anesthesiology. Feb 1 2023;138(2):132-151. doi:10.1097/aln.0000000000004381

Frykholm P, Disma N, Andersson H, et al. Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care. European journal of anaesthesiology. Jan 1 2022;39(1):4-25. doi:10.1097/eja.0000000000001599

Sarhan KA, Hasaneen H, Hasanin A, Mohammed H, Saleh R, Kamel A. Ultrasound Assessment of Gastric Fluid Volume in Children Scheduled for Elective Surgery After Clear Fluid Fasting for 1 Versus 2 Hours: A Randomized Controlled Trial. Anesthesia and analgesia. Apr 1 2023;136(4):711-718. doi:10.1213/ane.0000000000006157

Yaster M, Galinkin J, Schreiner M. An Introduction to the Ethical Design, Conduct, and Analysis of Pediatric Clinical Trials. In: Andropolous D, Gregory G, eds. Gregory's Pediatric Anesthesia. 6th ed. Wiley-Blackwell; 2020:56-74:chap 4.

Schmitz A, Schmidt AR. Can we use ultrasound examination of gastric content as a diagnostic test in clinical anaesthesia? Pediatric Anesthesia. 2019;29(2):112-113. doi:https://doi.org/10.1111/pan.13555

Roberts RB, Shirley MA. Reducing the risk of acid aspiration during cesarean section. Anesthesia and analgesia. Nov-Dec 1974;53(6):859-68. doi:10.1213/00000539-197453060-00010

DM, Rocke DA, Brock-Utne JG, Marszalek A, Engelbrecht HE. Critical volume for pulmonary acid aspiration: reappraisal in a primate model. British journal of anaesthesia. Aug 1990;65(2):248-50. doi:10.1093/bja/65.2.248

American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists

Contrasting Perspectives of Anesthesiologists and Gastroenterologists on the Optimal Time Interval between Bowel Preparation and Endoscopic Sedation

Pre-Procedural Fasting Policies for Patients Receiving Tube Feeding: A National Survey

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

Pre-operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study

Editorial: Point-of-care gastric ultrasound: food for thought