NO ASSOCIATION BETWEEN PREPROCEDURAL FASTING AND WITNESSED PULMONARY ASPIRATION A SYSTEMATIC REVIEW AND META-ANALYSIS I want to bring to everyone's attention the publication of an article we have been working on for some time. Ever been annoyed by having cases cancelled because a patient ate recently? I had this happen a couple of years ago. This motivated me to look at the preoperative fasting literature. I was surprised to learn how little actual evidence there is to support fasting policies. In our recent publication we point out that 1) aspiration rates are no different now than they were before fasting was imposed before administering anesthesia 2) The studies used in fasting research use surrogate outcomes that have never been shown to be relevant to human aspiration events. See the article published in Surgery (@SurgJournal) here: sciencedirect.com/science/ar… There is a pressing need to rethink preoperative fasting policies. New studies are needed that employ proper endpoints to provide guidance for how long patients really need to fast. My guess is, not very long.