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Impact of clear fluid fasting on pulmonary aspiration in children undergoing general anesthesia: Results of the German prospective multicenter observational (NiKs) study

Paediatric Anaesthesia Jul 23, 2020

Beck CE, Rudolph D, Mahn C, et al. - This extended study with more participating centers and a larger sample size is done to ascertain if shortened fasting times for clear fluids or light meals could influence the incidence of regurgitation or pulmonary aspiration during general anesthesia in children. Also, experts focused on the effect of age, emergent status, ASA classification, induction method, airway management or surgical procedure. This study involved 12,093 children scheduled for surgery or interventional procedures. According to findings, the incidence of regurgitation or pulmonary aspiration was not impacted by a clear fluid fasting time shortened from 2 hours to 1 hour. Experts reported a rise in the incidence of regurgitation or pulmonary aspiration in correlation with both an age between one and 3 years and emergent status. Findings also revealed that pulmonary aspiration followed by postoperative respiratory distress was rare and usually displayed a speedy recovery.

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