The Curbsiders Internal Medicine Podcast #381 LIVE! Patient Centered Things We Do For No ReasonTM
Feb 13, 2023
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Avoid Unnecessary NPO Orders
- Reconsider NPO orders for low-risk patients.
- Offer clear liquids up to two hours before procedures to avoid dehydration and hypoglycemia.
History of NPO Guidelines
- Current NPO practices stem from a 1946 study on pregnant women under general anesthesia.
- This high-risk group's experience doesn't apply to most surgical patients today.
Pre-Procedure Fasting Guidelines
- Follow the 2-4-6-8 rule for pre-procedure fasting.
- Allow clear liquids up to 2 hours, light meals up to 6, and full meals up to 8 hours prior.