Australasian anaesthesia 2025: invited papers and selected continuing education lectures

Arduini F; Doane M [editor]; Markman P; Shoemaker H; King C; Dennis AT [editor]

AIRR - ANZCA Institutional Research Repository

Please use this identifier to cite or link to this item: https://hdl.handle.net/11055/1372

Book Title:	Australasian anaesthesia 2025: invited papers and selected continuing education lectures
Chapter No./Title:	Are you thirsty? Changing the liquid fasting paradigm – The ‘Sip Til Send’ initiative
Chapter Authors/Editors:	Arduini F Doane M [editor] Markman P Shoemaker H King C Dennis AT [editor]
Issue Date:	11-Nov-2025
Publisher:	Australian and New Zealand College of Anaesthetists
Description:	Preoperative fasting is a critical component of patient preparation for surgery, traditionally aimed at reducing the risk of pulmonary aspiration during anaesthesia. However, prolonged fasting can lead to patient discomfort, dehydration, and other complications. The ‘Sip Til Send’ approach, an emerging practice in perioperative care, offers a promising alternative by allowing patients to sip approved clear liquids until called to theatre. The ‘Sip Til Send’ approach permits patients to consume small amounts of clear liquids, such as water, black tea or coffee, and electrolyte solutions, thereby reducing the duration of liquid fasting without an apparent increase in the risk of aspiration. This method has shown potential benefits, including decreased postoperative nausea and vomiting, improved hydration, and enhanced patient satisfaction. This article aims to increase awareness among anaesthetists about the ‘Sip Til Send’ approach, highlighting its benefits, implementation strategies, and the evidence supporting its safety and efficacy. Adopting this practice enhances patient experience and thereby improves perioperative care.
URI:	https://hdl.handle.net/11055/1372
ISBN:	9780645147247
Appears in Collections:	Corporate