Related Experiment Video

Updated: Jul 10, 2025

Guidelines for Elective Pediatric Fiberoptic Intubation
11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.6K

Clear rules for clear fluids fasting in children

Nicola Disma1, Peter Frykholm2

  • 1Unit for Research in Anaesthesia, Department of Anaesthesia, IRCCS Istituto Giannina Gaslini, Genoa, Italy.

British Journal of Anaesthesia
|November 23, 2023
PubMed

Insights

New European guidelines for preoperative fasting in children undergoing anesthesia show promise. Allowing clear fluids until 1 hour before surgery may reduce fasting times without increasing aspiration risk.

Area of Science:

  • Anesthesiology and Perioperative Medicine
  • Pediatric Anesthesia
  • Patient Safety

Background:

  • The European Society of Anaesthesiology and Intensive Care updated preoperative fasting guidelines in 2022.
  • These guidelines represent a significant change in preparing children for general anesthesia.
  • The study investigated the safety of these new guidelines regarding regurgitation and pulmonary aspiration.

Discussion:

  • Schmitz and colleagues conducted a multi-institutional prospective cohort study.
  • The research aimed to assess whether the 2022 guidelines increased the risk of regurgitation and pulmonary aspiration in pediatric patients.
  • Findings suggest that reducing actual fasting times by allowing clear fluids up to 1 hour before anesthesia induction is supported.

Key Insights:

  • The study supports the safety of allowing clear fluids until 1 hour before anesthesia induction in children.
  • Current evidence suggests that updated preoperative fasting protocols may not elevate the risk of aspiration.
  • This research contributes valuable data on the practical application of new anesthesia guidelines.

Outlook:

  • Further large-scale, prospective, multicenter studies are needed.
  • Larger sample sizes are required to provide definitive evidence on the safety of the new fasting rules.
  • Continued research will refine preoperative fasting protocols for pediatric anesthesia, enhancing patient safety.

Keywords:
complicationsfasting guidelinespaediatric anaesthesiapulmonary aspirationregurgitation

More Related Videos

Measuring Oral Fatty Acid Thresholds, Fat Perception, Fatty Food Liking, and Papillae Density in Humans10:29

Measuring Oral Fatty Acid Thresholds, Fat Perception, Fatty Food Liking, and Papillae Density in Humans

Published on: June 4, 2014

20.3K
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery04:14

Author Spotlight: Recent Advancements in Reoperative Foregut Surgery

Published on: September 22, 2023

497

Related Concept Videos

Acute Pharyngitis01:30

Acute Pharyngitis

Introduction
Acute pharyngitis is the inflammation of the back of the throat (pharynx), commonly resulting in a sore throat. It is a frequently encountered condition that prompts individuals to seek medical advice.
Classification
Acute pharyngitis can be categorized based on its underlying cause:
722
Lipids: Dietary Sources and Requirements01:18

Lipids: Dietary Sources and Requirements

Lipids are an essential component of a balanced human diet. Triglycerides, which make up the majority of dietary lipids, are found in both saturated fats—commonly present in meat, dairy products, and certain tropical plants like coconut, and hydrogenated oils such as margarine and baking shortenings (trans fats)—and unsaturated fats, which are abundant in seeds, nuts, olive oil, and most vegetable oils. The main sources of cholesterol include egg yolks, various meats and organ...
757
Upper GI Series: Barium Swallow01:24

Upper GI Series: Barium Swallow

The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
391
Lower GI Series: Barium Enema01:23

Lower GI Series: Barium Enema

A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
291
Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
572
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
180