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Related Experiment Videos

Hanna Andersson1, Peter Frykholm2

  • 1Akademiska sjukhuset - Institutionen för kirurgiska vetenskaper, Anestesi och Intensivvård Uppsala, Sweden - Institutionen för kirurgiska vetenskaper, Anestesi och intensivvård Uppsala, Sweden.

Lakartidningen
|June 14, 2019
PubMed
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New European guidelines suggest reducing clear fluid fasting for children before surgery to 1 hour, down from 2 hours. This change aims to minimize negative impacts of prolonged fasting, though further research on aspiration risks is required.

Area of Science:

  • Pediatric Anesthesiology
  • Surgical Patient Care

Background:

  • Current international guidelines recommend a 2-hour limit for clear fluid intake before elective pediatric surgery.
  • Emerging evidence highlights concerns regarding prolonged preoperative fasting, including gastric emptying times and pulmonary aspiration risks.

Purpose of the Study:

  • To present the European Society of Paediatric Anaesthesia's new consensus statement on preoperative fasting guidelines.
  • To advocate for a revised 1-hour fasting limit for clear fluids in pediatric elective surgery.

Main Methods:

  • Review of recent reports on gastric emptying and aspiration incidence.
  • Development of a new consensus statement by the European Society of Paediatric Anaesthesia.

Main Results:

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  • A new consensus recommends a 1-hour fasting limit for clear fluids in pediatric elective surgery.
  • This revised guideline addresses concerns about prolonged fasting's negative effects.

Conclusions:

  • The European Society of Paediatric Anaesthesia proposes a shortened 1-hour clear fluid fasting period for pediatric elective procedures.
  • Further multicentre audits are necessary to evaluate the incidence of aspiration with these updated fasting regimens.