Evidence map›Paper›PMID 42730370›Full record

ArticleEuropean journal of anaesthesiology and intensive care2026

2026 ESAIC Guidelines on preoperative fasting in adults: clinical practice guidelines protocol with EAES participation.

Marta Dias Vaz, Sophie Debouche, Marije Marsman, Massimo Lamperti, Stavros A Antoniou, Holger Schünemann, Ignacio Neumann

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Article in European journal of anaesthesiology and intensive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marta Dias VazFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Sophie DeboucheFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Marije MarsmanFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Massimo LampertiFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Stavros A AntoniouFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Holger SchünemannFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).
Ignacio NeumannFrom the Department of Anaesthesiology, Unidade Local de Saúde de Gaia/Espinho, V. N. Gaia, Portugal (MDV); Centre for Health Technology and Services Research, Health Research Network (CINTESIS@RISE), Faculty of Medicine of the University of Porto, Porto, Portugal (MDV), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium (SD), Department of Anaesthesiology and Intensive Care Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands (MM), Case Western Reserve University, Cleveland, Ohio, USA and Anesthesiology Division, Cleveland Clinic, Abu Dhabi, United Arab Emirates (ML), Department of Surgery, Papageorgiou General Hospital, Thessaloniki, Greece; Papageorgiou GRADE Center, Thessaloniki, Greece (SAA), Clinical Epidemiology and Research Center (CERC), Humanitas University & Humanitas Research Hospital, Milan, Italy (HS), European Society of Anaesthesiology and Intensive Care, Brussels, Belgium; School of Medicine, Universidad San Sebastián, Santiago, Chile (IN).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreoperative fasting aims to reduce pulmonary aspiration risk during anaesthesia. However, actual fasting durations often exceed recommendations, leading to patient discomfort, thirst and anxiety. Liberal fasting protocols may improve patient well-being without increasing aspiration risk, while gastric ultrasound may help identify patients with a higher risk of aspiration.

objectivesThis guideline aims to provide evidence-based recommendations on preoperative fasting duration for clear fluids and the use of gastric ultrasound assessment in adults undergoing elective procedures.

methodsA multidisciplinary task force will address two questions: (1) Should adults follow liberal (0-2 h) instead of standard (2-4 h) fasting for clear fluids before elective anaesthesia? (2) Should ultrasound be routinely used to assess gastric content before elective anaesthesia?Two systematic reviews will be conducted, as well as systematic searches to identify evidence on patient values and contextual factors.Evidence certainty will be rated using GRADE, and recommendations will be developed through evidence-to-decision frameworks considering benefits, harms, patient values, resources, acceptability, feasibility and equity.

conclusionsThis guideline aims to provide evidence-based recommendations on the duration of preoperative fasting for clear fluids and the use of gastric ultrasound to assess gastric content before anaesthesia for elective procedures in adults.

Identifiers

PMID42730370
PMCPMC13568156

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