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1、SPECIALARTICLESPracticeGuidelinesforPreoperativeFastingandtheUseofPharmacologicAgentstoReducetheRiskofPulmonaryAspiration:ApplicationtoHealthyPatientsUndergoingElectiveProceduresAnUpdatedReportbytheAmericanSocietyofAnesthesiologistsCommitteeonStandardsandPracticeParametersRA
2、CTICEGuidelinesaresystematicallydevelopedrec-ments,andtheirusecannotguaranteeanyspecificoutcome.PommendationsthatassistthepractitionerandpatientPracticeGuidelinesaresubjecttorevisionaswarrantedbyinmakingdecisionsabouthealthcare.Theserecommenda-theevolutionofmedicalknowledge,
3、technology,andprac-tionsmaybeadopted,modified,orrejectedaccordingtotice.Theyprovidebasicrecommendationsthataresup-clinicalneedsandconstraintsandarenotintendedtoreplaceportedbyasynthesisandanalysisofthecurrentliterature,localinstitutionalpolicies.Inaddition,PracticeGuidelines
4、expertandpractitioneropinion,openforumcommentary,developedbytheAmericanSocietyofAnesthesiologistsandclinicalfeasibilitydata.(ASA)arenotintendedasstandardsorabsoluterequire-ThisupdateincludesdatapublishedsincethePracticeGuidelinesforPreoperativeFastingandtheUseofPharma-Update
5、dbytheAmericanSocietyofAnesthesiologists(ASA)Com-cologicAgentstoReducetheRiskofPulmonaryAspirationmitteeonStandardsandPracticeParameters,JeffreyL.Apfelbaum,wereadoptedbytheASAin1998andpublishedin1999.*M.D.(Chair),Chicago,Illinois;RobertA.Caplan,M.D.,Seattle,Wash-ington;Richa
6、rdT.Connis,Ph.D.,Woodinville,Washington;BurtonS.Epstein,M.D.,Washington,D.C.;DavidG.Nickinovich,Ph.D.,Belle-Methodologyvue,Washington;andMarkA.Warner,M.D.,Rochester,Minnesota.OriginallydevelopedbytheASATaskForceonPreoperativeFastingDefinitionofPreoperativeFastingandandtheUse
7、ofPharmacologicAgentstoReducetheRiskofPulmonaryPulmonaryAspirationAspiration:MarkA.Warner,M.D.(Chair),Rochester,Minnesota;Rob-FortheseGuidelines,preoperativefastingisdefinedasaertA.Caplan,M.D.,Seattle,Washington;BurtonS.Epstein,M.D.,Washington,D.C.;CharlesP.Gibbs,M.D.,Denver
8、,Colorado;CandaceprescribedperiodoftimebeforeaprocedurewhenpatientsE.Keller