Actual Preoperative Fasting Duration and its Impact on Hunger, Thirst, Blood Glucose, and Parental Satisfaction in Pediatric Patients: A Prospective Observational Study.

Aims: Despite clear guidelines recommending reduced fasting durations, extended fasting remains a concern. This study aimed to evaluate actual fasting durations for solids and clear liquids in pediatric patients undergoing elective surgery; examine correlations between fasting durations and thirst/hunger scores, blood glucose levels, and hemodynamic parameters; and identify reasons for noncompliance with guidelines. Materials and Methods: This prospective observational study included 150 children aged 5-12 years scheduled for elective surgery under general anesthesia. Fasting durations for solids and liquids, hunger and thirst scores, blood glucose levels, and hemodynamic changes were recorded. Pearson's correlation analysis was conducted to assess the strength of associations between fasting durations for solids and liquids and corresponding hunger scores, thirst scores, blood glucose levels, parental satisfaction, and hemodynamics. Results: The median fasting durations for clear liquids and solids were 8 h and 10 h, respectively. A positive correlation was observed between hunger and thirst scores and fasting durations for solids and clear liquids ( Conclusions: Preoperative fasting durations in pediatric patients are often unnecessarily prolonged, leading to negative perioperative experiences. These findings highlight the critical need for improved adherence to fasting guidelines.