TY - JOUR T1 - Review: evidence is lacking to show that adults given fluids 1.5–3 hours preoperatively have greater risks of aspiration or regurgitation than those given a standard fast JF - Evidence Based Medicine JO - Evid Based Med SP - 88 LP - 88 DO - 10.1136/ebm.9.3.88 VL - 9 IS - 3 A2 - , Y1 - 2004/05/01 UR - http://ebm.bmj.com/content/9/3/88.abstract N2 - Brady M, Kinn S, Stuart P. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst Rev 2003;(4):CD004423 (latest version 27 Aug 2003). 
 
 Q In adults, what are the effects of different preoperative fasting regimens (duration, type, and volume of permitted intake) on perioperative complications and patient wellbeing? Clinical impact ratings Internal medicine ★★★★★☆☆ Anaesthaesia ★★★★★☆☆ Surgery ★★★★★★☆ Data sources: Medline (1966 to August 2003), CINAHL (1982 to August 2003), the Cochrane Central Register of Controlled Trials (second quarter, 2003), and the UK National Research Register (August 2003); bibliographies of relevant studies and conference proceedings; and experts. Study selection and assessment: randomised controlled trials (RCTs) or quasi-RCTs that compared the effects of different preoperative fasting regimens prior to general anaesthesia; included adults ⩾18 years of age; and reported postoperative complications. A standard fast was defined as nothing by mouth from midnight before morning surgery or a small breakfast early in the morning before afternoon surgery; intake of … ER -