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Erschienen in:

12.10.2021 | Pediatric Anesthesia (R Agarwal, Section Editor)

Revisiting Pediatric NPO Guidelines: a 5-Year Update and Practice Considerations

verfasst von: Lauren Lobaugh, Bukola Ojo, Bridget Pearce, Jamie Kitzman, Jennifer Lau, Sarah Hall, Nicole C. P. Thompson, Ranu R. Jain, Melissa Brooks Peterson, Olga Wolke, Anita Honkanen, Katherine Taylor

Erschienen in: Current Anesthesiology Reports | Ausgabe 4/2021

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Abstract

Purpose of Review

From 2018 to 2019, several international pediatric anesthesia societies challenged the current fasting guidelines, moving to decrease the fasting increment for clear liquids to 1 hour (h). Both the American Society of Anesthesiologists (ASA) and the Society for Pediatric Anesthesia (SPA) have hesitated to change, citing insufficient support. We sought to better understand the evidence related to fasting in children.

Recent Findings

We reviewed the literature from the past 5 years and conducted an informal survey of 51 United States (US) pediatric medical centers. Some medical institutions in the US caring for children have implemented policies to mirror the international guidelines. Our search revealed many patient, family, and system reasons to move to a shorter clear fluid fasting period. However, some medical conditions create increased risk of aspiration.

Summary

Available evidence supports a shorter fasting period, but individual patient factors should be considered.

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Titel: Revisiting Pediatric NPO Guidelines: a 5-Year Update and Practice Considerations
verfasst von: Lauren Lobaugh
Bukola Ojo
Bridget Pearce
Jamie Kitzman
Jennifer Lau
Sarah Hall
Nicole C. P. Thompson
Ranu R. Jain
Melissa Brooks Peterson
Olga Wolke
Anita Honkanen
Katherine Taylor
Publikationsdatum: 12.10.2021
Verlag: Springer US
Erschienen in: Current Anesthesiology Reports / Ausgabe 4/2021
Elektronische ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-021-00482-1

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Revisiting Pediatric NPO Guidelines: a 5-Year Update and Practice Considerations