Postoperative morbidity and serum osmolality were studied in 46 patien
ts who were encouraged to drink water until 3 h pre-operatively and 49
receiving the normal fasting regimen prior to minor surgery. There wa
s significantly less thirst in the postoperative period in those patie
nts allowed to drink and subjectively better recovery than after previ
ous anaesthesia. There was no morbidity from ingestion of up to 1 l of
water 2.5 pre-operatively. Although there was only a moderate improve
ment in postoperative recovery we feel that allowing patients to drink
water pre-operatively improves patient comfort, especially since pati
ents may have to fast for much longer than guidelines recommend, simpl
y because of the traditional organisation of operating lists.