A research study and editorial of interest to those of us who support mothers whose infants are about to undergo surgery? "With the goal of reducing the occurrence of pulmonary aspiration in sedated patients, preprocedural fasting guidelines [originally intended for patients undergoing elective procedures,] were developed using consensus opinion by organizations such as the American Society of Anesthesiologists (ASA) and American Academy of Pediatrics.7 <https://jamanetwork.com/journals/jamapediatrics/fullarticle/2680050?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamapediatrics&utm_content=olf&utm_term=050718#poi180021r7> -9 <https://jamanetwork.com/journals/jamapediatrics/fullarticle/2680050?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamapediatrics&utm_content=olf&utm_term=050718#poi180021r7>These guidelines specify a minimum fasting period of 2 hours for clear liquids, 4 hours for breast milk, 6 hours for infant formula and light meals, and 8 hours for solids containing meat or fatty foods.7 <https://jamanetwork.com/journals/jamapediatrics/fullarticle/2680050?utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamapediatrics&utm_content=olf&utm_term=050718#poi180021r7> "......No aspiration was observed in any child, whether compliant or non-compliant with fasting guidelines.........The objective of an ampty stomach itself appears illusory because imaging studies have shown that patients who properly fasted for general anaesthesia commonly have intragastric fluids and solids and thus anaesthesia is – and likely always has been – widely administered to those with appreciable gastric contents......Fasting does not guarantee an empty stomach and aspiration risk with procedural sedation is functionally negligible." https://jamanetwork.com/journals/jamapediatrics/fullarticle/2680050? https://jamanetwork.com/journals/jamapediatrics/article-abstract/2680046? Pamela Morrison IBCLC Rustington, England <https://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail> Virus-free. www.avast.com <https://www.avast.com/sig-email?utm_medium=email&utm_source=link&utm_campaign=sig-email&utm_content=webmail> <#DAB4FAD8-2DD7-40BB-A1B8-4E2AA1F9FDF2> *********************************************** Archives: http://community.lsoft.com/archives/LACTNET.html To reach list owners: [log in to unmask] Mail all list management commands to: [log in to unmask] COMMANDS: 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail 2. To start it again: set lactnet mail 3. To unsubscribe: unsubscribe lactnet 4. To get a comprehensive list of rules and directions: get lactnet welcome
