ReviewPaediatric anaesthesia2023
A review of pediatric fasting guidelines and strategies to help children manage preoperative fasting.
Review in Paediatric anaesthesia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- The current state and implications of pre-operative fasting time in children: a systematic review and meta-analysis.Pediatric surgery international · 2025Pooled it
- Rates of hypoglycemia and electrolyte abnormalities in children presenting for endoscopy in a tertiary hospital.Journal of pediatric gastroenterology and nutrition · 2026Article
- Impact of an unrestricted clear liquid fasting protocol on pediatric perioperative outcomes: a prospective interventional study.Pediatric surgery international · 2026Article
- Preoperative fasting guidelines: A narrative review.European journal of anaesthesiology and intensive care · 2026Review
- Implementation of the 'Countdown to Theatre' Approach to Bridge the Evidence-Practice Gap in Paediatric Preoperative Fasting: A Quality Improvement Initiative.Journal of advanced nursing · 2026Article
- Imaging insights of FDG-PET from neonates to infants.Japanese journal of radiology · 2025Review
- Optimizing pediatric preoperative fasting management: a survey of practices and real durations in Chinese hospitals.BMC anesthesiology · 2025Article
- Reviewing "Nil Per Os" Guidance for Clear Fluids in Children Before Anesthesia: Survey of the Pediatric Anesthesia Leadership Council.Anesthesia and analgesia · 2025Article
- Effect of Preoperative Clear Liquid Consumption on Postoperative Recovery in Pediatric Patients Undergoing Minimally Invasive Repair of Pectus Excavatum: A Prospective Randomized Controlled Study.Journal of clinical medicine · 2024Article
- State of the Art in Pediatric Anesthesia: A Narrative Review about the Use of Preoperative Time.Journal of personalized medicine · 2024Review
- A review of pediatric fasting guidelines and strategies to help children manage preoperative fasting.Paediatric anaesthesia · 2023Review
- Preoperative gastric ultrasound in children with cerebral palsy: a cross-sectional observational study.Brazilian journal of anesthesiology (Elsevier)Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Fasting for surgery is a routine step in the preoperative preparation for surgery. There have however been increasing concerns with regard to the high incidence of prolonged fasting in children, and the subsequent psycho-social distress and physiological consequences that this poses. Additionally, the past few years have yielded new research that has shown significant inter-individual variation in gastric emptying regardless of the length of the fast, with some patients still having residual gastric contents even after prolonged fasts. Additionally, multiple large-scale studies have shown no long-term sequalae from clear fluid aspiration, although two deaths from aspiration have been reported within the large Wake Up Safe cohort. This has led to a change in the recommended clear fluid fasting times in multiple international pediatric societies; similarly, many societies continue to recommend traditional fasting times. Multiple fasting strategies exist in the literature, though these have mostly been studied and implemented in the adult population. This review hopes to summarize the recent updates in fasting guidelines, discuss the issues surrounding prolonged fasting, and explore potential tolerance strategies for children.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.