Recent strong evidences show that fasting patient overnight before elective surgery is useless. In fact, free intake of clear fluids until 2 hours before anaesthesia is safe and beneficial in most of the subjects 55-57 and does not increase the risk of aspiration except for those patients with impaired gastric outlet or proven gastroesophageal reflux. Allowing patients to drink relieves the feeling of thirst that many patients experience before surgery. Even more important are the metabolic effects of undergoing surgery in a non-fasted state. 58
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