Preoperative Fasting: Difference between revisions
No edit summary |
No edit summary |
||
| (19 intermediate revisions by the same user not shown) | |||
| Line 21: | Line 21: | ||
[https://pubmed.ncbi.nlm.nih.gov/34857683/ Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care] | [https://pubmed.ncbi.nlm.nih.gov/34857683/ Pre-operative fasting in children: A guideline from the European Society of Anaesthesiology and Intensive Care] | ||
[https://www.bjanaesthesia.org/article/S0007-0912(25)00215-6/fulltext Impact of liberal preoperative clear fluid fasting regimens on the risk of pulmonary aspiration in children (EUROFAST): an international prospective cohort study] | |||
[https://pubs.asahq.org/anesthesiology/article/133/3/523/108227/Preoperative-Fluid-Fasting-Times-and-Postinduction Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis] | [https://pubs.asahq.org/anesthesiology/article/133/3/523/108227/Preoperative-Fluid-Fasting-Times-and-Postinduction Preoperative Fluid Fasting Times and Postinduction Low Blood Pressure in Children: A Retrospective Analysis] | ||
| Line 30: | Line 31: | ||
https://bjanaesthesia.org/article/S0007-0912(21)00111-2/fulltext | https://bjanaesthesia.org/article/S0007-0912(21)00111-2/fulltext | ||
https://link.springer.com/article/10.1007/s12630-019-01382-z | [https://link.springer.com/article/10.1007/s12630-019-01382-z Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia] | ||
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2766011 | https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2766011 | ||
| Line 37: | Line 38: | ||
[https://www.bjaed.org/article/S2058-5349(17)30168-3/fulltext Preoperative fasting in children] | [https://www.bjaed.org/article/S2058-5349(17)30168-3/fulltext Preoperative fasting in children] | ||
[https://link.springer.com/content/pdf/10.1007/s12630-019-01382-z.pdf Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia] | [https://link.springer.com/content/pdf/10.1007/s12630-019-01382-z.pdf Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia] | ||
[https://pubs.asahq.org/anesthesiology/article/127/4/A15/19790/Anesthesia-amp-Breastfeeding-More-Often-Than-Not Anesthesia & Breastfeeding: More Often Than Not, They Are Compatible] | [https://pubs.asahq.org/anesthesiology/article/127/4/A15/19790/Anesthesia-amp-Breastfeeding-More-Often-Than-Not Anesthesia & Breastfeeding: More Often Than Not, They Are Compatible] | ||
| Line 55: | Line 54: | ||
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517287/ Acute Intraoperative Pulmonary Aspiration] | [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4517287/ Acute Intraoperative Pulmonary Aspiration] | ||
[https://pubmed.ncbi.nlm.nih.gov/40410101/ Impact of liberal preoperative clear fluid fasting regimens on the risk of pulmonary aspiration in children (EUROFAST): an international prospective cohort study ] [https://pubmed.ncbi.nlm.nih.gov/40818914/ Comment] | |||
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. | 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. | ||
| Line 73: | Line 74: | ||
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. | 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. | ||
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 | 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 | 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 | ||
[https://www.hindawi.com/journals/grp/2015/497176/ Contrasting Perspectives of Anesthesiologists and Gastroenterologists on the Optimal Time Interval between Bowel Preparation and Endoscopic Sedation] | [https://www.hindawi.com/journals/grp/2015/497176/ Contrasting Perspectives of Anesthesiologists and Gastroenterologists on the Optimal Time Interval between Bowel Preparation and Endoscopic Sedation] | ||
| Line 89: | Line 84: | ||
[https://www.bjanaesthesia.org/article/S0007-0912(23)00563-9/fulltext Incidence of adverse respiratory events after adjustment of clear fluid fasting recommendations to 1 h: a prospective, observational, multi-institutional cohort study] | [https://www.bjanaesthesia.org/article/S0007-0912(23)00563-9/fulltext Incidence of adverse respiratory events after adjustment of clear fluid fasting recommendations to 1 h: a prospective, observational, multi-institutional cohort study] | ||
[https://pubs.asahq.org/monitor/article/88/4/19/139952/Perioperative-Tube-Feedings-Common-Questions Perioperative Tube Feedings – Common Questions] | [https://pubs.asahq.org/monitor/article/88/4/19/139952/Perioperative-Tube-Feedings-Common-Questions Perioperative Tube Feedings – Common Questions] | ||
| Line 99: | Line 90: | ||
[https://www.bjaopen.org/article/S2772-6096(24)00026-1/fulltext Preoperative fasting and the risk of pulmonary aspiration—a narrative review of historical concepts, physiological effects, and new perspectives] | [https://www.bjaopen.org/article/S2772-6096(24)00026-1/fulltext Preoperative fasting and the risk of pulmonary aspiration—a narrative review of historical concepts, physiological effects, and new perspectives] | ||
[https://aci.health.nsw.gov.au/networks/anaesthesia-perioperative-care/resources/sip-til-send Sip Til Send] | |||
[https://journals.lww.com/monitor/fulltext/2025/03000/staying_the_two_hour_course_on_pediatric_fasting.18.aspx Staying the Two-Hour Course on Pediatric Fasting Before Elective Surgery] | |||
Kelly C, Walker R. Perioperative pulmonary aspiration is infrequent and low risk in pediatric anesthetic practice. Paediatr Anaesth.2015;25:36-43.18. | |||
Warner MA, Warner ME, Warner DO, et al. Perioperative pulmonary aspiration in infants and children. Anesthes. 1999;90:66-71. | |||
[https://www.bjanaesthesia.org/article/S0007-0912(25)00223-5/fulltext Preoperative fasting in paediatric anaesthesia: a movie with a predicable ending] | |||
[https://pubmed.ncbi.nlm.nih.gov/29077812/ Gastric emptying for liquids of different compositions in children] | |||
[https://academic.oup.com/bja/article-abstract/114/3/477/263029 Gastric pH and residual volume after 1 and 2 h fasting time for clear fluids in children] | |||
<b>GLP-1 agonists/analogs</b> | |||
[https://www.anzca.edu.au/getContentAsset/0f35028e-e371-4220-a49a-ddee877051c8/80feb437-d24d-46b8-a858-4a2a28b9b970/Periprocedural-GLP-1-use-consensus-clinical-guide_P2.pdf Clinical Practice Recommendations regarding patients taking GLP-1 receptor agonists and dual GLP-1/GIP receptor co-agonists prior to anaesthesia or sedation for surgical and endoscopic procedures] | |||
[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16601 Association between glucagon-like peptide-1 receptor agonist use and peri-operative pulmonary aspiration: a systematic review and meta-analysis] | |||
[https://pubs.asahq.org/anesthesiology/article/doi/10.1097/ALN.0000000000005174/141932/Association-between-Glucagon-Like-Peptide-1 Association between Glucagon-like Peptide-1 Receptor Agonists and Aspiration Pneumonia during Endoscopic Procedures] | [https://pubs.asahq.org/anesthesiology/article/doi/10.1097/ALN.0000000000005174/141932/Association-between-Glucagon-Like-Peptide-1 Association between Glucagon-like Peptide-1 Receptor Agonists and Aspiration Pneumonia during Endoscopic Procedures] | ||
[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16306 Glucagon-like peptide-1 receptor agonists: a narrative review of clinical pharmacology and implications for peri-operative practice] | |||
[https://www.asahq.org/about-asa/newsroom/news-releases/2023/06/american-society-of-anesthesiologists-consensus-based-guidance-on-preoperative American Society of Anesthesiologists Consensus-Based Guidance on Preoperative Management of Patients (Adults and Children) on Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists] | |||
[https://auckland.figshare.com/articles/preprint/Association_between_glucagon-like_peptide-1_receptor_agonists_residual_gastric_content_and_bronchopulmonary_aspiration_after_fasting_an_ongoing_systematic_review_and_meta-analysis/28537307?file=62206637 Association between glucagon-like peptide-1 receptor agonists, residual gastric content, and bronchopulmonary aspiration after fasting: an ongoing systematic review and meta-analysis] | |||
[https://journals.lww.com/anesthesia-analgesia/abstract/2026/04000/assessment_of_gastric_content_using_gastric.6.aspx Assessment of Gastric Content Using Gastric Ultrasound in Patients on Glucagon-Like Peptide-1 Receptor Agonists Before Anesthesia] | |||
<b>Gastric Ultrasound</b> | |||
[https://pubmed.ncbi.nlm.nih.gov/25495405/ Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes] | |||
[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16454 Relationship between residual gastric content and peri-operative semaglutide use assessed by gastric ultrasound: a prospective observational study] | [https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16454 Relationship between residual gastric content and peri-operative semaglutide use assessed by gastric ultrasound: a prospective observational study] | ||
[https:// | [https://pubmed.ncbi.nlm.nih.gov/25495405/ Ultrasound assessment of gastric volume in the fasted pediatric patient undergoing upper gastrointestinal endoscopy: development of a predictive model using endoscopically suctioned volumes] | ||
[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16117 Pre-operative gastric ultrasound in patients at risk of pulmonary aspiration: a prospective observational cohort study] | |||
[https:// | [https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16190 Editorial: Point-of-care gastric ultrasound: food for thought] | ||
[https://onlinelibrary.wiley.com/doi/10.1111/pan.13555 Can we use ultrasound examination of gastric content as a diagnostic test in clinical anaesthesia?] | |||
[https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.70129 Gastric ultrasound in patients receiving semaglutide: a prospective, multicentre, matched control study] | |||
Latest revision as of 02:30, 17 March 2026
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 Canadian Pediatric Anesthesia Society Statement on fasting for elective pediatric anesthesia
Guideline on anaesthesia and sedation in breastfeeding women 2020
Preoperative fasting in children: review of existing guidelines and recent developments
UpToDate: Preoperative fasting in children and infants
Fluid Fasting in Children: Solid Science?
https://bjanaesthesia.org/article/S0007-0912(21)00111-2/fulltext
https://anesthesiology.pubs.asahq.org/article.aspx?articleid=2766011
Preoperative fasting in children
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
Acute Intraoperative Pulmonary Aspiration
Impact of liberal preoperative clear fluid fasting regimens on the risk of pulmonary aspiration in children (EUROFAST): an international prospective cohort study Comment
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
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.
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
Pre-Procedural Fasting Policies for Patients Receiving Tube Feeding: A National Survey
Perioperative Tube Feedings – Common Questions
Staying the Two-Hour Course on Pediatric Fasting Before Elective Surgery
Kelly C, Walker R. Perioperative pulmonary aspiration is infrequent and low risk in pediatric anesthetic practice. Paediatr Anaesth.2015;25:36-43.18.
Warner MA, Warner ME, Warner DO, et al. Perioperative pulmonary aspiration in infants and children. Anesthes. 1999;90:66-71.
Preoperative fasting in paediatric anaesthesia: a movie with a predicable ending
Gastric emptying for liquids of different compositions in children
Gastric pH and residual volume after 1 and 2 h fasting time for clear fluids in children
GLP-1 agonists/analogs
Gastric Ultrasound
Editorial: Point-of-care gastric ultrasound: food for thought
Can we use ultrasound examination of gastric content as a diagnostic test in clinical anaesthesia?