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Paul Preston, MD 

Preoperative Fasting Guidelines

Ingested Material Minimum Fasting Period
clear liquids 2 hours
breast milk 4 hours
formula 6 hours
milk (non-human) 6 hours
light meal 6 hours
solids 8 hours

These are the guidelines recommended by the American Society of Anesthesiologists. The guidelines are applied in each individal case according to the clinical judgement of the attending anesthesiologist.

These recommendations apply to healthy patients who are undergoing elective surgery. They are not intended for women in labor.

The fasting periods apply to all ages.

Examples of clear liquids are water, fruit juices without pulp, carbonated beverages, clear tea, and black coffee.

Since non-human milk is similar to solids in gastric emptying time, the amount ingested must be considered when determining an appropriate fasting period.

A "light meal" consists of toast and clear liquids. Meals that include fried or fatty foods or meat may prolong gastric emptying time. Both the amount and type of foods ingested must be considered when determining an appropriate fasting period.

 


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