2023 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting: Carbohydrate-containing Clear Liquids with or without Protein, Chewing Gum, and Pediatric Fasting Duration—A Modular Update of the 2017 American Society of Anesthesiologists Practice Guidelines for Preoperative Fasting *

2023/01/11 by Girish P. Joshi, Basem Abdelmalak, Basem B. Abdelmalak +14 · 31 citations
Medicine · #Enhanced Recovery After Surgery #Diet and metabolism studies #Cardiac, Anesthesia and Surgical Outcomes

paper · pdf · doi:10.1097/aln.0000000000004381

Abstract

These practice guidelines are a modular update of the "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." The guidance focuses on topics not addressed in the previous guideline: ingestion of carbohydrate-containing clear liquids with or without protein, chewing gum, and pediatric fasting duration.

Citations

• Clinical Significance of Pulmonary Aspiration during the Perioperative Period
• 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

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• Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative – Update 2025
• ESPEN guideline on clinical nutrition in surgery – Update 2025
• Influence of semaglutide use on the presence of residual gastric solids on gastric ultrasound: a prospective observational study in volunteers without obesity recently started on semaglutide
• Perioperative Management of Patients Taking Glucagon-like Peptide-1 Receptor Agonists: Applying Evidence to Clinical Practice
• Procedural sedation in pediatric dentistry: a narrative review. [europepmc]
• Prospective evaluation of an enhanced recovery after surgery (ERAS) pathway in a Norwegian cohort of patients with suspected or advanced ovarian cancer. [europepmc]
• Randomized controlled trial of liberal vs. standard fasting instructions in percutaneous cardiac procedures. [europepmc]
• Perioperative Nutritional Management in Enhanced Recovery after Bariatric Surgery. [europepmc]
• A convenient machine learning model to predict full stomach and evaluate the safety and comfort improvements of preoperative oral carbohydrate in patients undergoing elective painless gastrointestinal endoscopy. [europepmc]
• Glucagon-Like Peptide-1 Receptor Agonist Use and Residual Gastric Content Before Anesthesia. [europepmc]
• Diagnostic performance of ultrasound in the assessment of gastric contents: a meta-analysis and systematic review. [europepmc]
• Effects of Preoperative Oral Carbohydrate on Perioperative Maternal Outcomes Undergoing Cesarean Section: A Systematic Review and Meta-Analysis. [europepmc]
• Obesity and Anesthesia: Challenges in the Perioperative Period. [europepmc]
• PERIOPERATIVE CARE IN DIGESTIVE SURGERY: THE ERAS AND ACERTO PROTOCOLS - BRAZILIAN COLLEGE OF DIGESTIVE SURGERY POSITION PAPER. [europepmc]
• The use of point of care gastric ultrasound and anesthesia management in pediatric patients with preoperative fasting non-adherence scheduled for elective surgical procedures: a retrospective study. [europepmc]
• Effective and safe pediatric sedation. [europepmc]
• Four-year review of safe and effective procedural sedation in neonates and young infants. [europepmc]
• Preoperative Carbohydrate Load Does Not Alter Glycemic Variability in Diabetic and Non-Diabetic Patients Undergoing Major Gynecological Surgery: A Retrospective Study. [europepmc]
• Ultrasonic assessment of gastric solid contents in patients undergoing upper endoscope with sedation. [europepmc]
• Nutritional Optimization of the Surgical Patient: A Narrative Review. [europepmc]
• Reviewing "Nil Per Os" Guidance for Clear Fluids in Children Before Anesthesia: Survey of the Pediatric Anesthesia Leadership Council. [europepmc]
• Preoperative Carbohydrate Loading in Pediatric Surgery: A Scoping Review of Current Clinical Trials. [europepmc]
• Optimizing pediatric preoperative fasting management: a survey of practices and real durations in Chinese hospitals. [europepmc]
• Trends in enhanced recovery after surgery (ERAS) in thoracic surgery from a bibliometric insight. [europepmc]
• The role of enhanced recovery after surgery (ERAS) in promoting quality improvement and patient safety in pediatric urology. [europepmc]
• The effect of preoperative oral carbohydrate administration on postoperative glucometabolic response, subjective well being and quality of life in patients undergoing colorectal surgery: a randomized controlled double-blind study. [europepmc]
• Effect of Preoperative 2-Hour Carbohydrate Load on Pediatric Patients Undergoing Elective Surgery: A Randomized Controlled Study. [europepmc]
• Summary of Evidence for Perioperative Management of Day Surgery Patients Undergoing Anorectal Surgery. [europepmc]
• Peri-operative fasting in adults: an international, multidisciplinary consensus statement. [europepmc]

Related

• 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
• Peri‐operative fasting in adults: an international, multidisciplinary consensus statement
• Liberal liquid fasting regimens and the risk of pulmonary aspiration
• Peri‐operative fasting in adults and assumed milk composition
• ASA Consensus-based Guidance on Preoperative Management of Patients on Glucagon-like Peptide-1 Receptor Agonists