Anaesthesia and elective surgery: the aspiration question

Answering the question post #9 raises rather than the one it answers.

The documentation on anaesthesia and elective surgery is better than this thread and I say that as someone who has posted in the thread.

Insulin and sulfonylureas are the interaction that the labelling in this class flags most explicitly, because the risk is additive glucose lowering. That is a prescribing question and not a forum question.

The arithmetic in post #26 is right; the assumption feeding it is the part to check.

Distinguishing three things in the anaesthesia and elective surgery discussion that keep getting used interchangeably: the observation, the proposed mechanism, and the recommendation that gets attached to both.

Post #46 put the caveat in the right place and I want to underline it.

Where the anaesthesia and elective surgery discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on.

Anticoagulant questions come up regularly and are the clearest case for professional advice rather than discussion, because the consequence of being wrong is not gradual.

That has held every time I have looked, which is not the same as always.

Where I have landed on anaesthesia and elective surgery, having got it wrong once in public: the direction is clear, the magnitude is not, and anyone quoting a precise magnitude has borrowed it from somewhere that did not measure it.

Right, and stated more narrowly than I would have dared to state it.

Appreciated. The plain phrasing does more work here than a longer post would.

One more thing on anaesthesia and elective surgery that took me far too long to see: the two figures people quote are not measuring the same quantity. Once you notice that, the apparent contradiction disappears.