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Preoperative fasting is the practice of a surgical patient abstaining from eating or drinking ("nothing by mouth") for some time before having an operation.This is intended to prevent stomach contents from getting into the windpipe and lungs (known as a pulmonary aspiration) while the patient is under general anesthesia. [1]
Pre-surgery NPO orders are typically between 6 and 12 hours prior to surgery, through recovery suite discharge, but may be longer if long acting medications or oral post-meds were administered. It is not uncommon for the food NPO period to be longer than that for liquid, as the American Board of Anesthesiology advises against liquid NPO periods ...
The 24-hour diet recall is a poor method for measuring intake for food or drink with a high day-to-day variability. [8] The 24-hour diet recall is unsuitable for large scale studies due to its time, literacy, and economic constraints. [9] 24-hour diet recalls are used less frequently in pregnant women. [10]
The medication is not a “magic bullet” — and will “will work with you, but not in spite of you,” says Dr. Armando E. Castro-Tié, System Vice Chair, Surgery, for Northwell Health
Alternate-day fasting (alternating between a 24-hour "fast day" when the person eats less than 25% of usual energy needs, followed by a 24-hour non-fasting "feast day" period) has been shown to improve cardiovascular and metabolic biomarkers similarly to a calorie restriction diet in people who are overweight, obese or have metabolic syndrome.
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