2018
DOI: 10.1111/anae.14500
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Pre‐operative fasting in adults and children: clinical practice and guidelines

Abstract: Summary It is widely recognised that prolonged fasting for elective surgery in both children and adults serves no purpose, adversely affects patient well‐being and can be detrimental. Although advised fasting times for solids remain unchanged, there is good evidence to support a 1‐h fast for children, with no increase in risk of pulmonary aspiration. In adults, a major focus has been the introduction of carbohydrate loading before anaesthesia, so that patients arrive for surgery not only hydrated but also in a… Show more

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Cited by 111 publications
(98 citation statements)
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“…In reply to Desgranges et al [1], although some may argue that chewing gum does not technically constitute food or drink, we agree this is very relevant to the whole concept of pre-operative fasting.…”
mentioning
confidence: 61%
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“…In reply to Desgranges et al [1], although some may argue that chewing gum does not technically constitute food or drink, we agree this is very relevant to the whole concept of pre-operative fasting.…”
mentioning
confidence: 61%
“…We wish to mount further direct challenges to the concept of preCHO, on several grounds. The subjective benefits of preCHO, namely the reduction in anxiety, distress, thirst and hunger [1][2][3], are relative to the dietary habit of the subject during the preceding weeks, as much as they are to the immediate duration of…”
Section: Doubt About Pre-operative Carbohydrate Supplementationmentioning
confidence: 99%
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