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birth to 6 months |
6 months to 36 months |
36 months to 12 years |
Healthy Children over 12 and Adults |
Patient Info Index |
Clear liquids such as pedialyte, glucose water, or clear juices without pulp such as apple juice, clear pear juice, and white grape juice should be encouraged until 3 hours prior to the scheduled procedure. [Note 2]Breast milk may be offered until 4 hours prior to the scheduled procedure if the infant refuses clear liquids. Special instructions for ambulatory surgery patients.
Formula may be offered until 4 hours prior to the scheduled procedure only if the infant refuses clear liquids. Special instructions for ambulatory surgery patients.
No solid food after midnight prior to the scheduled procedure.
Clear liquids such as pedialyte, water, or clear juices without pulp such as apple juice, clear pear juice, white grape juice, and clear Jell-O should be encouraged until 3 hours prior to the scheduled procedure. [Note 2]Breast milk may be offered until 4 hours prior to the scheduled procedure if the baby refuses clear liquids.
Formula may be offered in infants under 12 months until 6 hours prior to the scheduled procedure, only if the baby refuses clear liquids.
No solid food or pulp containing juices after midnight prior to the scheduled procedure.
Clear liquids such as pedialyte, water, or clear juices such as apple juice, clear pear juice, white grape juice, flat soda, and clear Jell-o should be encouraged until 3 hours prior to the scheduled procedure. [Note 2]No solid food or non-clear liquids such as milk or orange juice after midnight prior to the scheduled procedure unless approved by the anesthesiologist.
Medication with sips of water may be taken until 30 minutes before the procedure.Clear liquids such as water, or clear juices such as apple juice, white grape juice, flat soda, tea, black coffee (no milk), and clear Jell-O may be offered until 3 hours prior to the scheduled procedure.
No solid food or non-clear liquids such as milk or orange juice after midnight prior to the scheduled procedure unless approved by the anesthesiologist.
Children with delayed gastric emptying or reflux
should remain NPO (Nil Per Os - Nothing By Mouth) after midnight with
the exception of only small sips of water with required medication and
may be considered for IV fluid preoperatively if the procedure is
scheduled late in the day.
GE reflux
esophageal dysfunction
dysphagia (difficulty in swallowing)
gastromotility disorders such as gastroparesis
potential for difficult airway
extreme obesity
pregnancy
metabolic disorders such as diabetes mellitus