Paediatric anaesthesia
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Paediatric anaesthesia · Oct 2019
Multicenter StudyReal fasting times and incidence of pulmonary aspiration in children: Results of a German prospective multicenter observational study.
Prolonged fasting before anesthesia is still common in children. Shortened fasting times may improve the metabolic and hemodynamic condition during induction of anesthesia and the perioperative experience for parents and children and simplify perioperative management. As a consequence, some centers in Germany have reduced fasting requirements, but the national guidelines are still unchanged. ⋯ This study shows that prolonged fasting is still common in pediatric anesthesia in Germany that pulmonary aspiration with postoperative respiratory distress is rare and that improvements to current local fasting regimens and national fasting guidelines are urgently needed.