Practical Reviews

Breaking Bad, Breaking NPO


Background: There is nothing more frustrating than having to cancel an operating room case or procedural sedation due to a violation of strict instructions for children to receive nothing to eat or drink (NPO) during the hours before surgery. Fasting prior to surgery is intended to reduce the volume and acidity of stomach contents and minimize the risk of regurgitation and resulting pulmonary aspiration. Current recommendations from the American Society of Anesthesiology are 2 hour more...
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