Perioperative medicine & outcomes

Peri‐operative fasting in adults: an international, multidisciplinary consensus statement

AnaesthesiaPublished Consensus statement

Methodological detailssystematic literature review, three-round Delphi process, international, multidisciplinary
  • Systematic literature review
  • Three-round Delphi process
  • International
  • Multidisciplinary

Recommendations

As issued by the authors

  1. Continue current practices on pre-operative fasting for solid food and non-clear liquids.

  2. Encourage clear liquids until 2 h before the start of anaesthesia or sedation, unless institutional protocols allow more liberal liquid intake.

  3. Implement institutional protocols that allow more liberal clear liquid intake < 2 h before the start of anaesthesia or sedation.

  4. Salivation stimulants can be used until transfer for the procedure.

  5. Resume oral intake as soon as clinically feasible.

  6. Preprocedural gastric ultrasound by a trained provider may be used to guide clinical decisions when additional information is required.

Original publication

Peri‐operative fasting in adults: an international, multidisciplinary consensus statement. Anaesthesia. Published 9 February 2026. doi:10.1111/anae.70130

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