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This prospective, randomized, observer-blinded trial was undertaken at the Children’s Hospital of Philadelphia to determine whether infants’ gastric fluid volume was affected by a shorter period of pre-anesthetic fast from formula. Ninety-seven infants aged less than 10 months were enrolled during a 32-month period and randomized to 2 groups. The liberalized fasting group (mean age, 5.7 months) was allowed formula 4–6 hours prior to the induction of general anesthesia but no solids or cow’s milk within 8 hours of induction. The traditional group (mean age, 6.4 months) was allowed clear liquids 2–5 hours prior to the induction of general anesthesia and no solids, milk, or formula within 8 hours of induction. All …
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