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Common surgeries that should be NPO (this list is not intended to include all possibilities): Tracheostomy (or other procedures/surgeries involving the airway including tube changes) Patients undergoing procedures necessitating prone positioning such as: Posterior cervical spine Thoracic, lumbar spine Sacral procedures Video-assisted thoracoscopic surgery (VATS) Face and neck surgery Gastrostomy and jejunostomy If concerns are specifically raised by the OR (Anesthesiology or Surgery) team and documented preoperatively Common surgeries that should not be NPO (this list is not intended to include all possibilities): Rib plating Abdominal washout Orthopedic extremity procedures Plastic and/or reconstructive surgery on the extremities When receiving post-pyloric * enteral feeds Post-pyloric enteral feeds will be discontinued once the patient is called for the operating room There will be no automatic NPO status after midnight regardless of airway status * For patients with an unprotected airway, post-pyloric tube placement should be confirmed within 48 hours of procedure Patients without a secured airway with a cuff (e.g