Perioperative medicine & outcomes

Pre-operative liquid fasting practices in twelve European countries: A prospective multicentre cohort study (Thirst study)

Eur J AnaesthesiolPublished Prospective observational multicentre study

Authors' conclusion

Excessive pre-operative liquid fasting remains highly prevalent across Europe, with poor implementation of established guidelines.

Study context

Population
Adults undergoing elective surgery or interventional procedures under GA, RA or sedation in 46 centres in 12 European countries, November–December 2024
Participants
5,100 adults · 46 centres · 12 countries
Outcome
Self-reported duration of pre-operative liquid fasting; incidence of prolonged fasting (liquid fasting >4 h)

Main finding

As reported in the abstract

Pre-operative liquid fasting time

Patients fasting beyond 4 h

95%

Clear liquids within 2 to 4 h

4%

Clear liquids within 2 h

0.8%

Observational data: associations, not effects.

Further findings

Fasting duration by country and procedure type (subgroup)

Consistently prolonged across most countries and procedures, except notably shorter times in Albania

Original publication

Pre-operative liquid fasting practices in twelve European countries: A prospective multicentre cohort study (Thirst study). Eur J Anaesthesiol. Published 20 January 2026. doi:10.1097/eja.0000000000002347

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