Τετάρτη 13 Φεβρουαρίου 2019

Amending the fasting polemic: is fasting 1 h the answer?

Abstract

I read with interest recent the APA‐ESPA‐ADARPEF joint consensus statement and the SPANZA endorsement to reduce the fasting interval after clear fluids in children to 1 hour. I am fully committed to re‐examining fasting guidelines in children periodically. However, abbreviating the fasting interval to the point where flexibility to change the order of the surgical list in the face of an unexpected delay or cancellation occur is eliminated, would preclude our ability to run an efficient operating room schedule.

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