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Clear fluids have been defined by the Australian and New Zealand College of Anaesthetists (ANZCA) as water, carbohydrate rich fluids, specifically developed for perioperative use, pulp free fruit juice, clear cordial, black tea and coffee excludes fluids containing particulate matter, soluble fibre, milk-based drinks and jelly. 2 Internationally, solids have also been further divided into light breakfasts (specified as buttered toast with jam or cereals with milk) and solids (other foods not previously included) 3 . 1 The pediatric fasting guidelines have recently been updated in multiple countries (Table) to reflect the latest evidence for gastric emptying, and the minimal morbidity and mortality data reflected in pediatric patients who do aspirate. 1 Why the desire to change the fasting times for clear liquids

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This growth is supported by a younger demographic and weaker enforcement of smoke-free regulations

3 , 22 The criteria outlined in Table 1 can serve as a guide to diagnosis, with factors such as a leukoplakia with a verrucous surface involving more than two different oral sites, lesions which have spread, and sites typically involving the gingiva, alveolar processes and palate, being factors to consider in differentiation of a PVL from OL