Division of Pediatric Anesthesia
Department of Anesthesiology
800 Washington Street, Box 298
Boston, MA 02111
Tel: 617 636 6044
Fax: 617 636 8384
NPO (Nothing by Mouth) Guidelines
Before anesthesia for surgery eating and drinking are not allowed for specific periods of time. It is
important that you follow these directions carefully for safety reasons. If your child eats or drinks after
the indicated time, the surgery may get cancelled or delayed.
We follow the "2, 4, 6, 8 rule" for fasting guidelines in children.
THE PATIENT CAN HAVE UNTIL … TYPE OF FOOD AND DRINK
2 hours prior to surgery/procedure
CLEAR LIQUIDS ONLY (fluids you can
see through), Water, Pedialyte,
Gatorade, Apple Juice, Pulp free
juices, Soft Drinks, Jello, Popsicles,
Iced Tea, Hot Black Tea
NO Orange Juice
NO Hard Candy
NO Gum
If you have any doubts about a certain drink, Medications with a sip of clear liquid
it is better not to administer it. as prescribed
4 hours prior to surgery/procedure Breast Milk (if applicable)
6 hours prior to surgery/procedure Formula / Non - Human Milk
Non Clear Juices / Drinks
Gum, Hard Candy
Light Meal *
8 hours prior to surgery/procedure Regular Meal
* Light Meal usually consists of Toast / Fruit / Juice / Broth / Apple Sauce. Fried fatty food can delay gastric
emptying and is not considered a Light Meal
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