September 15, 2026 · British journal of anaesthesia · DOI: 10.1016/j.bja.2026.05.054

Preoperative fasting: when failure to measure perpetuates harm

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The authors investigate the issue of prolonged preoperative liquid fasting, which is a prevalent yet often overlooked source of avoidable harm in perioperative care. They argue that effective implementation of more liberal fasting protocols, supported by routine measurement and accountability, is essential for minimizing fasting durations and improving patient outcomes. The paper emphasizes that addressing this issue is critical for enhancing patient-centered care and ensuring safety in the perioperative setting.

Anne Marie Camilleri Podesta, Anne Rüggeberg

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