Fasting

The reason for surgery determines its urgency and influences anaesthetic technique. This includes acceptable starvation periods.

Question: Why is it important to fast prior to elective surgery (category 3 and 4)?

Answer

The reason for surgery determines its urgency and influences anaesthetic technique. This includes acceptable starvation periods.

Question: Why is it important to fast prior to elective surgery (category 3 and 4)?

Answer: It is important to fast prior to elective surgery
(category 3 and 4) because under anaesthesia patients cannot protect their own airway and are therefore at risk of aspiration of gastric contents. This can result in substantial morbidity or death due to:

  • Physical blockage of airway by food particles
  • Pneumonitis caused by gastric acid

Fasting before anaesthesia aims to reduce the volume of gastric contents and the risk of harm from aspiration.