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Department of Anesthesia NPO Guidelines. Age. General or urgency of the surgery, weigh risks and benefits, and decide with the surgeon the appropriate 3 Jan 2019 Fasting guidelines for patients having anesthesia attempt to reduce the risk of aspiration and the severity of the pulmonary effects should aspiration occur. Recommendations that oral intake of liquids and solids be restricted for varying times prior to anesthesia aim to minimize gastric volume at the time of surgery. Certain procedures may require special preoperative fasting instructions. If the patient receives separate instructions from the surgeon or the physician p> Preoperative Fasting Information Nothing by Mouth (NPO), Minimum Fasting Period Follow these guidelines below for healthy surgical patients of all ages. 16 Feb 2017 Fasting guidelines and recommendations have been produced as a 4 h for breast milk, and 2 h for clear fluids for elective surgery in both Evidence-based guidelines, published over the past 25 years in the United and the morning of surgery.6, 7 So why does the practice of prescribing NPO (nonFasting prior to elective procedures requiring anesthesia is intended to reduce the the risk of delaying surgery versus the risk of aspiration of gastric contents. Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic For these guidelines, preoperative fasting is defined as a pre- scribed period of time before a solids for specified time periods before surgery and prescrib-. In 1999, the American Society of Anesthesiologists published preoperative fasting guidelines of 6 hours for easily digested solids and 2 hours for clear liquid for healthy patients scheduled to undergo elective surgery. Fasting instructions in the hospital's nursing policy manual were then revised. A light meal or nonhuman milk may be ingested for up to 6 h before elective procedures requiring general anesthesia, regional anesthesia, or procedural sedation and analgesia. Additional fasting time (e.g., 8 or more hours) may be needed in cases of patient intake of fried foods, fatty foods, or meat.

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