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Why delayed gastric emptying matters in anesthesia Pulmonary aspiration occurs when gastric contents enter the lungs during anesthesia, potentially leading to: Aspiration pneumonitis Acute respiratory distress syndrome (ARDS) Increased perioperative morbidity and mortality Standard fasting guidelines (e.g., 68 hours for solids) aim to minimize this risk

But too much aspirin can lead to intestinal bleeding, and aspirin during a childhood viral illness can trigger Reyes syndrome