An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children.

ABSTRACT: The multidisciplinary International Committee for the Advancement of Procedural Sedation presents the first fasting and aspiration prevention recommendations specific to procedural sedation, based on an extensive review of the literature. These were developed using Delphi methodology and assessment of the robustness of the available evidence. The literature evidence is clear that fasting, as currently practiced, often substantially exceeds recommended time thresholds and has known adverse consequences, for example, irritability, dehydration and hypoglycaemia. Fasting does not guarantee an empty stomach, and there is no observed association between aspiration and compliance with common fasting guidelines. The probability of clinically important aspiration during procedural sedation is negli

SUBMITTER: Green SM 

PROVIDER: S-EPMC7064977 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature