{"id":4579,"date":"2018-04-30T08:05:56","date_gmt":"2018-04-30T08:05:56","guid":{"rendered":"http:\/\/www.euroespa.com\/?p=4579"},"modified":"2025-03-10T18:23:03","modified_gmt":"2025-03-10T17:23:03","slug":"consensus-statement-on-clear-fluids-fasting-for-elective-pediatirc-general-anesthesia","status":"publish","type":"post","link":"https:\/\/www.euroespa.com\/consensus-statement-on-clear-fluids-fasting-for-elective-pediatirc-general-anesthesia\/","title":{"rendered":"Consensus statement on clear fluids fasting for elective pediatric general anesthesia"},"content":{"rendered":"<h3><span class=\"text-gradient\">Summary<\/span><\/h3>\n<div>\n<p>Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are currently 2\u00a0hours. The traditional 2\u00a0hours clear fluid fasting time was recommended to decrease the risk of pulmonary aspiration and is not in keeping with current literature. It appears that a&nbsp;liberalized clear fluid fasting regime does not affect the incidence of pulmonary aspiration and in those who do aspirate, the sequelae are not usually severe or long\u2010lasting. With a&nbsp;2\u2010hour clear fasting policy, the literature suggests that this translates into 6\u20107\u00a0hours actual duration of fasting with several studies up to 15\u00a0hours. Fasting for prolonged periods increases thirst and irritability and results in detrimental physiological and metabolic effects. With a&nbsp;1\u2010hour clear fluid policy, there is no increased risk of pulmonary aspiration and studies demonstrate the stomach is empty. There is less nausea and vomiting, thirst, hunger, and anxiety, if allowed a&nbsp;drink closer to surgery. Children appear more comfortable, better behaved and possibly more compliant. In children less than 36\u00a0months this has positive physiological and metabolic effects. It is practical to allow children to drink until 1 hour prior to anesthesia on the day of surgery. In this joint consensus statement, the Association of Paediatric Anaesthetists of Great Britain and Ireland, the European Society for Paediatric Anaesthesiology, and L&#8217;Association Des Anesth\u00e9sistes\u2010R\u00e9animateurs P\u00e9diatriques d&#8217;Expression Fran\u00e7aise agree that, based on the current convincing evidence base, unless there is a&nbsp;clear contraindication, it is safe and recommended for all children able to take clear fluids, to be allowed and encouraged to have them up to 1\u00a0hour before elective general anesthesia.<span style=\"background-color: #ffffff;\">:<\/span><\/p>\n<\/div>\n<p><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/pan.13370\">You can view and log in for the full article HERE.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Summary Pediatric anesthetic guidelines for the management of preoperative fasting of clear fluids are currently 2\u00a0hours. The traditional 2\u00a0hours clear&#8230;<\/p>\n","protected":false},"author":1,"featured_media":469,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_searchwp_excluded":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-4579","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/posts\/4579","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/comments?post=4579"}],"version-history":[{"count":2,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/posts\/4579\/revisions"}],"predecessor-version":[{"id":9373,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/posts\/4579\/revisions\/9373"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/media\/469"}],"wp:attachment":[{"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/media?parent=4579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/categories?post=4579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.euroespa.com\/api\/wp\/v2\/tags?post=4579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}