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Clinical Notice:OpiCalc is not a substitute for professional clinical judgment. Always verify dosages and guidelines.

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NPO Fasting Guidelines

NPO Fasting Guidelines: Pre-operative fasting recommendations per ASA standards to reduce aspiration risk.

Recommended NPO Duration

2 hours

Examples: Water, black coffee (no cream), tea, clear broth, sports drinks, apple juice

Important Considerations:

  • Start fasting from midnight for morning surgeries
  • Follow your specific surgeon/anesthesiologist instructions
  • Some medications with sips of water may be permitted
  • Pregnant patients: 8 hrs solid, 2 hrs clear liquids
  • Confirm NPO status before procedures
Guidelines & Evidence

Verified

Last Review: 2026-07-17

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Origins & History

Last Comprehensive Review: 2026-07-17

Recent Journal Updates

JAMAJul 21, 2026
Earlier Egg Introduction Recommendations Linked to Fewer Infant Allergies

Clinical Context

We think this might be relevant to the clinical guidance for NPO Fasting Guidelines.

Pan American Health OrgJul 16, 2026
Nuevas directrices de la OMS: hasta un 45 % del riesgo de demencia podría prevenirse o retrasarse

Clinical Context

We think this might be relevant to the clinical guidance for NPO Fasting Guidelines.

WHO NewsJul 15, 2026
New WHO guidelines: up to 45% of dementia risk could be prevented or delayed

Clinical Context

We think this might be relevant to the clinical guidance for NPO Fasting Guidelines.