• Anaesthesia · Apr 1998

    Pre-operative fasting for paediatric anaesthesia. A survey of current practice.

    • B M Emerson, S R Wrigley, and M Newton.
    • Royal Hospitals NHS Trust, Queen Elizabeth Hospital for Children, Whitechapel, London, UK.
    • Anaesthesia. 1998 Apr 1;53(4):326-30.

    AbstractThere has recently been much debate about pre-operative fasting for paediatric anaesthesia. There is no consensus about the optimum fasting times for children undergoing elective surgery. In order to establish a standard for paediatric pre-operative fasting times, we undertook a postal survey, targeting members of the Association of Paediatric Anaesthetists resident in the United Kingdom and Ireland in 1995. One hundred and sixty-three questionnaires were dispatched, 131 (80%) were returned and 110 (67%) were complete. The results show that the following guidelines for duration of fast are acceptable to the majority of respondents-neonates: 2 h for clear fluids, 4 h for breast and formula milk; infants: 2 h for clear fluids, 4 h for breast milk, 6 h for formula milk and solids; children: 2 h for clear fluids, 6 h for milk and solids. We suggest that these times be used as guidelines and audited for pre-operative fasting in paediatric anaesthesia.

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