Low incidence of pulmonary aspiration in children allowed intake of clear fluids until called to the operating suite.
In Sweden at Uppsala University Hospital children are allowed to drink clear fluids until called to the operating suite. They recently completed a retrospecitve audit of 10,015 paediatric patients and revealed aspiration in 0.03% of cases (3 in 10,000). No case of aspiration required cancellation of the surgical procedure, intensive care or ventilation support and no deaths attributable to aspiration were found.
Conclusion: Shortened fasting times may improve the perioperative experience for parents and children with a low risk of aspiration.