Hi y'all. I lurk a lot in here because I love learning about what goes on across the drapes.
Posting in here for my own learning regarding a case today (identifying details changed, essentials aren't). 60's male, 1ppd smoker otherwise healthy (no reflux or COPD), going to the hoop for a big chest wall basal cell carcinoma. OR start was 0730, patient disclosed he had had a cup of coffee with a splash of cream at 0230.
Anesthesiologist decided to delay the case till 1030 to give him a full 8 hours NPO. I obviously wasn't going to argue, as it's not my bailiwick, but a few of my more senior partners were saying I should have pushed to start the case on time. I did a lit search this evening, fairly unfruitfully, but was curious as to the opinions of some of the old hands on this board (both for my own education and so I can teach my residents what's appropriate).
As an aside, I want to commend your board for being an entertaining and educational space where I always learn something new.....