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Report” adopted by the ASA in 2010 and published in 2011.†. Methodology. Definition of Preoperative Fasting and Pulmonary. Aspiration. For these guidelines Columbia Anesthesia Group has adopted the ASA guidelines for NPO (nothing by mouth) status clear tea, black coffee plain, chewing tobacco and gum)Fasting Recommendations*. Minimum Fasting Period†. • Clear liquids‡ -- -Stop 2 hours prior to procedure. • Breast milk------- Stop 4 hours prior to

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