Letter to the Editor  |   May 2015
Preop Chewing Gum Issue Sticking Around
Author Affiliations
  • Oren Guttman, M.D., M.B.A.
    Assistant Professor of Anesthesiology and Pain Management University of Texas Southwestern Medical Center, Dallas, Texas
  • Girish P. Joshi, M.B.B.S., M.D., FFARCSI
    Professor of Anesthesiology and Pain Management University of Texas Southwestern Medical Center, Dallas, Texas
Article Information
Letter to the Editor
Letter to the Editor   |   May 2015
Preop Chewing Gum Issue Sticking Around
ASA Monitor 05 2015, Vol.79, 59.
ASA Monitor 05 2015, Vol.79, 59.
We’re writing in response to a recent correspondence titled “Chewing Gum: A Hazard That Warrants Delaying the Case?” by Andrew S. Greenwald, B.A. and Yuriy A. Gubenko, M.D. (March 2015 NEWSLETTER). While we agree that preoperative gum chewing has been the subject of much controversy, a subject on which ASA has remained silent,1  we feel a more careful analysis of the literature invites an entirely different conclusion than that reached by our esteemed colleagues. More importantly, we feel particularly obliged to make the case for improved clinical practice in the area of preoperative fasting guidelines that will enhance the patient experience, given that much of what we practice in this space is nothing short of mythology that, frankly, makes our patients miserable.
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