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PRE-OPERATIVE FASTING GUIDELINES

ROYAL COLLEGE OF NURSING AND THE AMERICAN SOCIETY OF ANESTHESIOLOGISTS

Pre-op Fasting in Healthy Adults The intake of solid foods A minimum pre-op fasting time of 6hrs is recommended for food (solids and milk). Fried or fatty meal 8hrs is recommended before induction of anaesthesia. Chewing gum and sweets Chewing gum should not be permitted on the day of surgery. Sweets are solid food. A minimum of 6hrs pre-op fasting time is recommended. Pre-op Fasting in High* Risk Adults General Recommendations Higher-risk patients should follow the same pre op fasting regime as healthy adults, unless contraindicated. In addition, the anaesthetic team should consider further interventions, as appropriate to the overall clinical situation. Adults undergoing emergency surgery should be treated as if they have a full stomach. If possible, the patient should follow normal fasting guidance to allow gastric emptying. *High risk of regurgitation and aspiration; patients include those with obesity, gastro-oesophageal reflux and diabetes. Pre-op Fasting in Healthy Children The intake of oral fluids. The volume of liquid ingested is less important than the type. Intake of water and other clear fluids up to 2 hrs before induction of anaesthesia. The intake of milk Breast milk may be given up to 4hrs before induction of anaesthesia. Formula milk or cows milk may be given up to 6hrs before induction of anaesthesia. The intake of solid foods A minimum pre-op fasting time of 6hrs is recommended for food Chewing Gum and Sweets Chewing gum should not be permitted on the day of surgery. Sweets including lollipops are solid food. A minimum pre-op fasting time of six hours is recommended. Pre-op Fasting in High*Risk Children General recommendations Higher-risk patients should follow the same pre-op fasting regime as healthy children, unless contraindicated. In addition, the anaesthetic team should consider further interventions, as appropriate to the overall clinical situation. Children undergoing emergency surgery should be treated as if they have a full stomach. If possible, the child should follow normal fasting guidance to allow for gastric emptying.

Summary of Fasting Recommendations


Ingested Material Clear liquids Breast Milk Infant Formula Non-human milk Light meal Minimum Fasting Period 2hrs 4hrs 6hrs 6hrs 6hrs

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