Professional society and health service statements

Guidelines

Current statements relevant to perioperative clear fluid fasting. Links go to the publishing body. Guidelines are revised periodically — verify currency at the source before clinical application. This site is not affiliated with any organisation listed below.

ANZCA
Australia / NZ
PG07 — Guideline on pre-anaesthesia consultation and patient preparation (Appendix 1: Fasting)
Base document 2024; fasting appendix revised 2026. Check the document header for the current revision date.
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ANZCA
Australia / NZ
Clinical practice recommendations regarding patients taking GLP-1 receptor agonists
1 April 2025
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ANZCA Library
Australia / NZ
Professional documents index — current standards of practice
Use to confirm you are viewing the current version of any ANZCA document
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ESAIC
Europe
Pre-operative fasting in children
Frykholm P et al., Eur J Anaesthesiol 2022;39:4–25
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ESAIC-led panel
International
Peri-operative fasting in adults: an international, multidisciplinary consensus statement
Rüggeberg A, Bilotta F, et al., Anaesthesia 2026;81:840–851 · 68-stakeholder Delphi process
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CPOC
United Kingdom
Sip til send — guidance and resources
Centre for Perioperative Care; cites >30 adopting NHS trusts; adults up to 170 mL/hour, none in the hour before anaesthesia
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ASA
United States
Practice guidelines for preoperative fasting — 2023 modular update
Joshi GP, Abdelmalak BB, Weigel WA, et al., Anesthesiology 2023;138:132–151
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Safer Care Victoria
Victoria, AU
Sip Til Send — fluid fasting guidance
Permits up to 200 mL/hour adults, 3 mL/kg/hour children
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NSW ACI
NSW, AU
Sip Til Send to reduce fluid fasting time
NSW Agency for Clinical Innovation; published Aug 2024, modified Jun 2026 — excludes patients on GLP-1/dual GLP-1–GIP receptor agonists
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Disclaimer

Guidelines are subject to revision after the date listed here. Always confirm the current version at the publishing body's own website before applying it clinically. This content does not constitute medical or clinical advice; see the full disclaimer.