Perioperative medicine & outcomes

Benefits in adults allowed to drink clear liquids before anaesthesia until called to the operating room: A randomised pilot study

Eur J AnaesthesiolPublished Randomised controlled trial

Authors' conclusion

The trial design proved feasible. Liberal fluid intake reduced thirst and headache.

Study context

Population
Adult surgical patients with low risk of aspiration, single academic centre in Germanyno dropouts or loss to follow-up
Participants
174 patients
Comparison
Conservative intervention or liberal intervention vs usual care
Primary endpoint
Patient-reported thirst before anaesthesia induction (none, moderate, severe)
Follow-up
Before anaesthesia induction
Methodological detailsprospective, pilot, single-centre
  • Prospective
  • Pilot
  • Single-centre

Primary result

As reported in the abstract

Preoperative thirst
Each group vs controlOdds ratio (95% CI)P value
Conservative intervention
0.41(0.20–0.82)
P = 0.013
Liberal intervention
0.21(0.10–0.43)
P < 0.001

Further findings

Fluid fasting time — Conservative intervention vs Control

P < 0.001

OutcomeOR (95% CI)P value
Postoperative thirstLiberal intervention vs Control0.32 (0.13–0.75)P = 0.009
Preoperative headacheLiberal intervention vs Control0.24 (0.07–0.66)P = 0.009
OutcomeP value
Fluid fasting timeLiberal intervention vs ControlP < 0.001

Blinding success

Blinding successful
98.3%

Safety

No adverse events reported
  • Not powered for definitive safety conclusions

Original publication

Benefits in adults allowed to drink clear liquids before anaesthesia until called to the operating room: A randomised pilot study. Eur J Anaesthesiol. Published 18 November 2025. doi:10.1097/eja.0000000000002309

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