September 16, 2026 · British journal of anaesthesia · DOI: 10.1016/j.bja.2026.07.048

Liberal liquid fasting and aspiration: a mandate for patient-centred precision care in perioperative fasting

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The authors investigate the discrepancy between recommended liquid fasting times and actual practices in perioperative care, questioning whether shorter fasting periods for clear liquids could be safely implemented without increasing the risk of aspiration. They highlight the rarity of aspiration events in elective patients and call for a systematic evaluation of aspiration cases to better inform fasting protocols. Ultimately, the authors advocate for patient-centered, liberal liquid fasting strategies that align with existing recommendations from anaesthesia societies.

Anne Rüggeberg, Anne M Camilleri Podesta

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