Surgical Prophylaxis
Infectious Diseases Society of America (IDSA) & the Surgical Infection Society (SIS) guidelines
clear liquids 200 mL –2 hrs (clear liquids - APPY juice, lime juice, tender coconut water, ORS solution)
breast milk – 4 hrs, nonhuman milk, formula feed
light meal (toast/cereal with clear liquid), enteral tube feeds – 6 hrs
fried or fatty food – 8 hrs, meat - 12 hrs
TPN - should not be abruptly stopped during perioperative period, if TPN is to be stopped for some reason, dextrose containing iv fluids shall be administered and sugars to be monitored q2 hrly + sos
medications advised in PAC order to be given with sips of water, no scheduled medication prescribed shall be omitted during NPO period
OHA & ACE inhibitors to be skipped on the day of surgery
Fasting guidelines


Anticoagulant Antiplatelet Guidelines
American Society of Regional Anesthesia and Pain Medicine guidelines 2018
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