What happens when you need emergency surgery but have had something to eat or drink?

If you need emergency surgery but have recently had something to eat or drink, the medical team will take special precautions to minimize the risk of complications. Here's what typically happens:

1. Initial Assessment: The medical team will first assess your condition to determine the urgency of the surgery. If the surgery can be delayed for a few hours, they may allow your stomach to empty naturally or administer medications to speed up the process.

2. NPO (Nothing by Mouth): Once the decision for surgery is made, you will be placed on NPO (nothing by mouth) status. This means you cannot eat or drink anything, including water. This is done to reduce the risk of aspiration, which is when stomach contents enter the lungs during surgery.

3. Gastric Decompression: In some cases, the medical team may insert a nasogastric (NG) tube into your stomach to help empty its contents. This tube is a thin, flexible tube that is passed through your nose and into your stomach. It allows for the suction of stomach fluids, reducing the risk of regurgitation and aspiration during surgery.

4. Rapid Sequence Intubation: If general anesthesia is required for the surgery, the medical team will perform rapid sequence intubation (RSI). This is a technique used to quickly and safely insert a breathing tube into your windpipe. RSI involves administering medications to relax your muscles and blunt your gag reflex, reducing the risk of aspiration.

5. Continuous Monitoring: Throughout the surgery, your vital signs, oxygen saturation, and breathing will be closely monitored. The anesthesia team will take necessary precautions to ensure adequate ventilation and prevent respiratory complications.

6. Post-Operative Care: After surgery, you will continue to be closely monitored. The NG tube may be left in place for a while to allow your stomach to rest and prevent nausea and vomiting. You will gradually be allowed to resume oral intake as tolerated, as determined by your medical team.

By following these precautions, the medical team can minimize the risks associated with having recently eaten or drunk before emergency surgery.