I think Dr. Fisher is being a little too cavalier in regards to NPO
requirements prior to sedation in the ED. In fact the article by Ingebo et
al. discusses 2 hour fasting only in relation to ingestion of clear liquids
not solids. Also the population studied in this article were patients who
were undergoing elective endoscopy, not our typical ED patient who may
have a full stomach for other reasons i.e. pain.
While some patients need sedation immediately it is in our patients best
interest as well as our own to delay sedation when possible.
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