ArticleiGIE : innovation, investigation and insights2026
Unrestricted drinking before procedural sedation using fasting cards: a prospective observational quality improvement study.
Article in iGIE : innovation, investigation and insights, 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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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.
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: International guidelines recommend clear-liquid fasting for 2 hours before procedural sedation-but in practice, this fasting time is usually exceeded, often significantly. We aimed to align actual liquid fasting times with these guidelines by implementing ‟unrestricted drinking using fasting cards" for patients undergoing procedural sedation. Methods: In a prospective, observational, quality improvement study, we implemented ‟unrestricted drinking before procedural sedation using fasting cards" in 2 ‟Plan-Do-Study-Act" cycles. Our patient population included those scheduled for elective procedures with sedation in gastroenterology, pulmonary, and cardiology. Results: The introduction of ‟drink until called" and subsequent education, including fasting cards, increased the proportion of patients who were aware they could drink before sedation to 81%. The awareness about permission to drink before procedural sedation correlated with significantly shorter median (interquartile range) clear-liquid fasting times of 1.2 (0.7-2.5) hours than those who were not informed (11.3 [4.1-12.7] hours; Conclusions: Our results demonstrate the importance of aligning clinical practice with established guidelines to improve patient safety and comfort. Future efforts should focus on overcoming institutional and cultural barriers to enable widespread adoption of such quality improvement measures.
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Registered trials
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