Update on the latest recommendations and news on preoperative fasting guidelines. 2023.

Authors

  • Paula García García Resident doctor of the Anesthesiology and Resuscitation service. Alcorcón Foundation University Hospital; Madrid Spain.
  • Laura Fernández Téllez Associate physician of the Anesthesiology and Resuscitation service. Alcorcón Foundation University Hospital; Madrid Spain.
  • Daniel Arnal Velasco Associate physician of the Anesthesiology and Resuscitation service. Alcorcón Foundation University Hospital; Madrid Spain.

DOI:

https://doi.org/10.30445/rear.v17i2.1262

Keywords:

preoperative fasting, practice guidelines, update, clear liquids, children

Abstract

Preoperative fasting is defined as the period of time prior to surgery in which oral intake of solids and/or liquids is not allowed. It is essential in daily perioperative practice given the serious complications, even life-threatening, in which can result for non-compliance, as well as the consequent suspension of scheduled diagnostic-therapeutic procedures. We have reviewed the most recent updates of the international perioperative fasting guidelines with the aim of grouping and summarizing the latest recommendations. In these, the importance of avoiding excessively prolonged fasting times is emphasized due to their deleterious effects. Issues such as the ingestion of chewing gum or the distinction between carbohydrate-rich liquids, the administration of which is recommended given the associated benefits recently observed, are addressed. Finally, the persistent lack of consensus among societies on certain controversial sections, especially that relating to fasting in the pediatric population, is reflected.

References

- Joshi GP, Abdelmalak BB, Weigel WA, Harbell MW, Kuo CI, Soriano SG, et al. 2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration-A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting. Anesthesiology. 2023; 138(2): 132–151. Disponible en DOI: 10.1097/ALN.0000000000004381

- Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. Anesthesiology. 2017; 126(3): 376–393. Disponible en DOI: 10.1097/ALN.0000000000001452

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- Fawcett WJ, Thomas M. Pre-operative fasting in adults and children: clinical practice and guidelines. Anesthesia. 2019; 74(1): 83–88. Disponible en DOI: 10.1111/anae.14500

- Smith I, Kranke P, Murat I, Smith A, O'Sullivan G, Søreide E, Spies, C, et al. Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology. European Journal of Anaesthesiology. 2011; 28(8): 556–569. Disponible en DOI: 10.1097/EJA.0b013e3283495ba1.

Published

2025-03-04

How to Cite

García García, P., Fernández Téllez, L., & Arnal Velasco, D. (2025). Update on the latest recommendations and news on preoperative fasting guidelines. 2023. Revista Electrónica AnestesiaR, 17(2). https://doi.org/10.30445/rear.v17i2.1262

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