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Practice Guidelines for Preoperative Fasting and the Use ...

Practice PARAMETERS. 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*. P RACTICE Guidelines are systematically developed recommendations that assist the practitioner and patient in making decisions about health care. These recom- these Guidelines , the term Preoperative should be consid- ered synonymous with preprocedural, as the latter term is often used to describe procedures that are not considered to mendations may be adopted, modified, or rejected accord- be operations. Anesthesia care during procedures refers to ing to clinical needs and constraints, and are not intended general anesthesia, regional anesthesia, or procedural seda- to replace local institutional policies.

fied for patients with coexisting diseases or conditions that can affect gastric emptying or fluid volume (e.g., pregnancy, obesity, diabetes, hiatal hernia, gastroesophageal reflux disease, ileus or bowel obstruction, emergency care, or enteral tube feeding) and patients in whom airway management might be diffi-cult.

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