Indian Journal of Anaesthesia

REVIEW ARTICLE
Year
: 2019  |  Volume : 63  |  Issue : 9  |  Page : 707--712

Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts


Ann Sumin Toms, Ekta Rai 
 Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Dr. Ekta Rai
Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu
India

Preoperative fasting period is the prescribed time prior to any procedure done either under general anaesthesia, regional anaesthesia or sedation, when oral intake of liquids or solids are not allowed. This mandatory fasting is a safety precaution that helps to protect from pulmonary aspiration of gastric contents which may occur any time during anaesthesia. We searched PUBMED for English language articles using keywords including child, paediatric, anaesthesia, fasting, preoperative, gastric emptying. We also hand searched references from relevant review articles and major society guidelines. Association of Paediatric Anaesthesiologists of Great Britain and Ireland (APAGBI), the French Language Society of Paediatric Anaesthesiologists and the European Society of Paediatric Anesthetists recommends clear fluid intake upto one hour prior to elective surgery unless specific contraindications exists. Current guidelines recommend fasting duration of 4 hours for breastmilk, 6 hours for milk and light meals and 8 hours for fatty meals. The European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines recommend that oral intake can be initiated within hours of surgery in most patients. While fluids can be started almost immediately, the introduction of solids should be done more cautiously.


How to cite this article:
Toms AS, Rai E. Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts.Indian J Anaesth 2019;63:707-712


How to cite this URL:
Toms AS, Rai E. Operative fasting guidelines and postoperative feeding in paediatric anaesthesia-current concepts. Indian J Anaesth [serial online] 2019 [cited 2019 Oct 18 ];63:707-712
Available from: http://www.ijaweb.org/article.asp?issn=0019-5049;year=2019;volume=63;issue=9;spage=707;epage=712;aulast=Toms;type=0