a guide to pre-operative fasting
TRANSCRIPT
![Page 1: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1.jpg)
A guide to pre-operative fasting
Dr. Manith Kha
Consultant Anaesthetist
Cathy Andrews
Clinical Services Coordinator
June 2008
![Page 2: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/2.jpg)
Rationale for Pre-operative fasting
• Patients are fasted from fluids & solids prior to surgery to reduce the risk of vomiting and aspiration of stomach contents.
• The literature supports a fasting time of 6-8 hours prior to surgery for solids and 2 hours for clear fluids.
• Some patients are thought to be at greater risk of aspiration or vomiting than others. There is limited research available with these patient groups and so they are treated with caution.
• If in doubt, refer to the home team.
![Page 3: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/3.jpg)
Who is at risk of vomiting / aspiration?
• All patients undergoing general anaesthesia are at risk, but for some the risk is thought to be greater. This includes:
– The obese (BMI over 30)
– Patients who may have delayed gastric emptying – those with reflux, hiatus hernia, neurological disorders or neuropathies such as diabetics.
– Patients with a difficult airway
– Patients with sepsis or renal failure
– Pregnant or immediately post partum women
![Page 4: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/4.jpg)
What are the consequences of prolonged fasting?
• Prolonged fasting periods can be detrimental to patient outcomes. Possible consequences include:
– Psychological effects –confusion, irritability, a sense of isolation.
– Physical effects – dehydration, thirst, headaches, hypoglycaemia and electrolyte imbalance, nausea or vomiting.
– Increased incidence of post operative nausea & vomiting.
![Page 5: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/5.jpg)
Why are patients fasted for longer than necessary?
• The most common reason for patients to be fasted for extended periods is that it is easy and convenient for staff to do so.
• There is uncertainty over what the policy actually is.
• Different units have different “routines”.
• Sometimes it is unclear what time an operation will take place – for example if the patient is on an ‘Emergency List’
• Staff sometimes don’t have the knowledge to inform their practice.
![Page 6: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/6.jpg)
So what is the policy at the Queen Elizabeth?
• The QEH pre-op fasting protocol was revised in 2002 and since this time it has been policy to fast patients for 6 – 8 hours prior to surgery.
• In 2007 a number of the JBI procedures were adopted by the QEH. The JBI procedure (Pre-operative care: Fasting) explains the rationale behind fasting periods and differs slightly from the old QEH protocol.
• In view of this it is felt it is timely to revisit our pre-op fasting procedure and provide clear guidelines and supporting education.
![Page 7: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/7.jpg)
The new policy
DEPARTMENT OF ANAESTHESIA THE QUEEN ELIZABETH HOSPITAL
PRE-OPERATIVE FASTING GUIDELINES*IF IN DOUBT – CONSULT THE ANAESTHETIST*
Patients scheduled for surgery
ELECTIVE SURGERY : Minimum fasting times:•8 hours after meat, fried or fatty foods•6 hours after light meal, milk, juice, cordial or carbonated drinks, lollies or chewing gum, tea or coffee•2 hours after water – maximum last drink 150ml•Small sips of water may be given with pre-operative oral medications
MORNING LISTS:•Fast (from foods, drinks, lollies and chewing gums) from midnight•Water only until 6AM preoperatively - maximum last drink 150ml•Oral medications should be continued with a sip of water unless specifically discontinued by medical staff
AFTERNOON LISTS:•Fast (from foods, drinks, lollies and chewing gums) after a light breakfast (e.g.. tea and toast) at 6AM•Water only until 10AM preoperatively - maximum last drink 150ml•Oral medications should be continued with a sip of water unless specifically discontinued by medical staff
ALL DAY LISTS:•Fast as for morning lists even if on latter parts of the lists (order of cases on lists may change at short notice)
EMERGENCY SURGERY :•Remain fasting from foods, drinks, lollies and chewing gums unless otherwise stated•Oral medications should be continued with a sip of water unless specifically discontinued by medical staff•Intravenous fluid therapy may be necessary•Any doubt - consult medical staff
PATIENTS ON FAST TRACK PROTOCOL – NO RISK OF DELAYED GASTRIC EMPTYING•Fast as above•Nutricia carbohydrate drink may be given 2 hours preoperatively
PATIENTS WITH RISKS OF DELAYED GASTRIC EMPTYING•E.g.. Obesity or BMI>30, hiatus hernia or reflux, diabetes, renal failure, sepsis, difficult airway•Fast as for normal patients•Nutricia carbohydrate drink may be given 6 hours but not 2 hours preoperatively
FASTING AND ORAL MEDICATIONS :•Oral (especially cardiac and slow release opioid) medications should be continued while fasting unless specifically discontinued by medical staff•Any doubt about particular drugs and/or situations – consult relevant medical staff
![Page 8: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/8.jpg)
![Page 9: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/9.jpg)
![Page 10: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/10.jpg)
![Page 11: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/11.jpg)
![Page 12: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/12.jpg)
![Page 13: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/13.jpg)
![Page 14: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/14.jpg)
![Page 15: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/15.jpg)
![Page 16: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/16.jpg)
![Page 17: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/17.jpg)
![Page 18: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/18.jpg)
![Page 19: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/19.jpg)
![Page 20: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/20.jpg)
![Page 21: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/21.jpg)
![Page 22: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/22.jpg)
![Page 23: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/23.jpg)
![Page 24: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/24.jpg)
![Page 25: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/25.jpg)
![Page 26: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/26.jpg)
![Page 27: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/27.jpg)
![Page 28: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/28.jpg)
![Page 29: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/29.jpg)
![Page 30: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/30.jpg)
![Page 31: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/31.jpg)
![Page 32: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/32.jpg)
![Page 33: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/33.jpg)
![Page 34: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/34.jpg)
![Page 35: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/35.jpg)
![Page 36: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/36.jpg)
![Page 37: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/37.jpg)
![Page 38: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/38.jpg)
![Page 39: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/39.jpg)
![Page 40: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/40.jpg)
![Page 41: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/41.jpg)
![Page 42: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/42.jpg)
![Page 43: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/43.jpg)
![Page 44: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/44.jpg)
![Page 45: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/45.jpg)
![Page 46: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/46.jpg)
![Page 47: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/47.jpg)
![Page 48: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/48.jpg)
![Page 49: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/49.jpg)
![Page 50: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/50.jpg)
![Page 51: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/51.jpg)
![Page 52: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/52.jpg)
![Page 53: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/53.jpg)
![Page 54: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/54.jpg)
![Page 55: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/55.jpg)
![Page 56: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/56.jpg)
![Page 57: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/57.jpg)
![Page 58: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/58.jpg)
![Page 59: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/59.jpg)
![Page 60: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/60.jpg)
![Page 61: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/61.jpg)
![Page 62: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/62.jpg)
![Page 63: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/63.jpg)
![Page 64: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/64.jpg)
![Page 65: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/65.jpg)
![Page 66: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/66.jpg)
![Page 67: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/67.jpg)
![Page 68: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/68.jpg)
![Page 69: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/69.jpg)
![Page 70: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/70.jpg)
![Page 71: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/71.jpg)
![Page 72: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/72.jpg)
![Page 73: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/73.jpg)
![Page 74: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/74.jpg)
![Page 75: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/75.jpg)
![Page 76: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/76.jpg)
![Page 77: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/77.jpg)
![Page 78: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/78.jpg)
![Page 79: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/79.jpg)
![Page 80: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/80.jpg)
![Page 81: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/81.jpg)
![Page 82: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/82.jpg)
![Page 83: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/83.jpg)
![Page 84: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/84.jpg)
![Page 85: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/85.jpg)
![Page 86: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/86.jpg)
![Page 87: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/87.jpg)
![Page 88: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/88.jpg)
![Page 89: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/89.jpg)
![Page 90: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/90.jpg)
![Page 91: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/91.jpg)
![Page 92: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/92.jpg)
![Page 93: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/93.jpg)
![Page 94: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/94.jpg)
![Page 95: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/95.jpg)
![Page 96: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/96.jpg)
![Page 97: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/97.jpg)
![Page 98: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/98.jpg)
![Page 99: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/99.jpg)
![Page 100: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/100.jpg)
![Page 101: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/101.jpg)
![Page 102: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/102.jpg)
![Page 103: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/103.jpg)
![Page 104: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/104.jpg)
![Page 105: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/105.jpg)
![Page 106: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/106.jpg)
![Page 107: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/107.jpg)
![Page 108: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/108.jpg)
![Page 109: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/109.jpg)
![Page 110: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/110.jpg)
![Page 111: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/111.jpg)
![Page 112: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/112.jpg)
![Page 113: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/113.jpg)
![Page 114: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/114.jpg)
![Page 115: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/115.jpg)
![Page 116: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/116.jpg)
![Page 117: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/117.jpg)
![Page 118: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/118.jpg)
![Page 119: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/119.jpg)
![Page 120: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/120.jpg)
![Page 121: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/121.jpg)
![Page 122: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/122.jpg)
![Page 123: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/123.jpg)
![Page 124: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/124.jpg)
![Page 125: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/125.jpg)
![Page 126: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/126.jpg)
![Page 127: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/127.jpg)
![Page 128: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/128.jpg)
![Page 129: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/129.jpg)
![Page 130: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/130.jpg)
![Page 131: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/131.jpg)
![Page 132: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/132.jpg)
![Page 133: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/133.jpg)
![Page 134: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/134.jpg)
![Page 135: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/135.jpg)
![Page 136: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/136.jpg)
![Page 137: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/137.jpg)
![Page 138: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/138.jpg)
![Page 139: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/139.jpg)
![Page 140: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/140.jpg)
![Page 141: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/141.jpg)
![Page 142: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/142.jpg)
![Page 143: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/143.jpg)
![Page 144: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/144.jpg)
![Page 145: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/145.jpg)
![Page 146: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/146.jpg)
![Page 147: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/147.jpg)
![Page 148: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/148.jpg)
![Page 149: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/149.jpg)
![Page 150: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/150.jpg)
![Page 151: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/151.jpg)
![Page 152: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/152.jpg)
![Page 153: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/153.jpg)
![Page 154: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/154.jpg)
![Page 155: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/155.jpg)
![Page 156: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/156.jpg)
![Page 157: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/157.jpg)
![Page 158: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/158.jpg)
![Page 159: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/159.jpg)
![Page 160: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/160.jpg)
![Page 161: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/161.jpg)
![Page 162: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/162.jpg)
![Page 163: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/163.jpg)
![Page 164: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/164.jpg)
![Page 165: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/165.jpg)
![Page 166: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/166.jpg)
![Page 167: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/167.jpg)
![Page 168: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/168.jpg)
![Page 169: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/169.jpg)
![Page 170: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/170.jpg)
![Page 171: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/171.jpg)
![Page 172: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/172.jpg)
![Page 173: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/173.jpg)
![Page 174: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/174.jpg)
![Page 175: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/175.jpg)
![Page 176: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/176.jpg)
![Page 177: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/177.jpg)
![Page 178: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/178.jpg)
![Page 179: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/179.jpg)
![Page 180: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/180.jpg)
![Page 181: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/181.jpg)
![Page 182: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/182.jpg)
![Page 183: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/183.jpg)
![Page 184: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/184.jpg)
![Page 185: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/185.jpg)
![Page 186: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/186.jpg)
![Page 187: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/187.jpg)
![Page 188: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/188.jpg)
![Page 189: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/189.jpg)
![Page 190: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/190.jpg)
![Page 191: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/191.jpg)
![Page 192: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/192.jpg)
![Page 193: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/193.jpg)
![Page 194: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/194.jpg)
![Page 195: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/195.jpg)
![Page 196: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/196.jpg)
![Page 197: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/197.jpg)
![Page 198: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/198.jpg)
![Page 199: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/199.jpg)
![Page 200: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/200.jpg)
![Page 201: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/201.jpg)
![Page 202: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/202.jpg)
![Page 203: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/203.jpg)
![Page 204: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/204.jpg)
![Page 205: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/205.jpg)
![Page 206: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/206.jpg)
![Page 207: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/207.jpg)
![Page 208: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/208.jpg)
![Page 209: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/209.jpg)
![Page 210: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/210.jpg)
![Page 211: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/211.jpg)
![Page 212: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/212.jpg)
![Page 213: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/213.jpg)
![Page 214: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/214.jpg)
![Page 215: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/215.jpg)
![Page 216: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/216.jpg)
![Page 217: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/217.jpg)
![Page 218: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/218.jpg)
![Page 219: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/219.jpg)
![Page 220: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/220.jpg)
![Page 221: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/221.jpg)
![Page 222: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/222.jpg)
![Page 223: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/223.jpg)
![Page 224: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/224.jpg)
![Page 225: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/225.jpg)
![Page 226: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/226.jpg)
![Page 227: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/227.jpg)
![Page 228: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/228.jpg)
![Page 229: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/229.jpg)
![Page 230: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/230.jpg)
![Page 231: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/231.jpg)
![Page 232: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/232.jpg)
![Page 233: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/233.jpg)
![Page 234: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/234.jpg)
![Page 235: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/235.jpg)
![Page 236: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/236.jpg)
![Page 237: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/237.jpg)
![Page 238: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/238.jpg)
![Page 239: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/239.jpg)
![Page 240: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/240.jpg)
![Page 241: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/241.jpg)
![Page 242: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/242.jpg)
![Page 243: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/243.jpg)
![Page 244: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/244.jpg)
![Page 245: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/245.jpg)
![Page 246: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/246.jpg)
![Page 247: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/247.jpg)
![Page 248: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/248.jpg)
![Page 249: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/249.jpg)
![Page 250: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/250.jpg)
![Page 251: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/251.jpg)
![Page 252: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/252.jpg)
![Page 253: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/253.jpg)
![Page 254: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/254.jpg)
![Page 255: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/255.jpg)
![Page 256: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/256.jpg)
![Page 257: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/257.jpg)
![Page 258: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/258.jpg)
![Page 259: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/259.jpg)
![Page 260: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/260.jpg)
![Page 261: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/261.jpg)
![Page 262: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/262.jpg)
![Page 263: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/263.jpg)
![Page 264: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/264.jpg)
![Page 265: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/265.jpg)
![Page 266: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/266.jpg)
![Page 267: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/267.jpg)
![Page 268: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/268.jpg)
![Page 269: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/269.jpg)
![Page 270: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/270.jpg)
![Page 271: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/271.jpg)
![Page 272: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/272.jpg)
![Page 273: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/273.jpg)
![Page 274: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/274.jpg)
![Page 275: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/275.jpg)
![Page 276: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/276.jpg)
![Page 277: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/277.jpg)
![Page 278: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/278.jpg)
![Page 279: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/279.jpg)
![Page 280: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/280.jpg)
![Page 281: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/281.jpg)
![Page 282: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/282.jpg)
![Page 283: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/283.jpg)
![Page 284: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/284.jpg)
![Page 285: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/285.jpg)
![Page 286: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/286.jpg)
![Page 287: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/287.jpg)
![Page 288: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/288.jpg)
![Page 289: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/289.jpg)
![Page 290: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/290.jpg)
![Page 291: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/291.jpg)
![Page 292: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/292.jpg)
![Page 293: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/293.jpg)
![Page 294: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/294.jpg)
![Page 295: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/295.jpg)
![Page 296: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/296.jpg)
![Page 297: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/297.jpg)
![Page 298: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/298.jpg)
![Page 299: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/299.jpg)
![Page 300: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/300.jpg)
![Page 301: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/301.jpg)
![Page 302: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/302.jpg)
![Page 303: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/303.jpg)
![Page 304: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/304.jpg)
![Page 305: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/305.jpg)
![Page 306: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/306.jpg)
![Page 307: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/307.jpg)
![Page 308: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/308.jpg)
![Page 309: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/309.jpg)
![Page 310: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/310.jpg)
![Page 311: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/311.jpg)
![Page 312: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/312.jpg)
![Page 313: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/313.jpg)
![Page 314: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/314.jpg)
![Page 315: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/315.jpg)
![Page 316: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/316.jpg)
![Page 317: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/317.jpg)
![Page 318: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/318.jpg)
![Page 319: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/319.jpg)
![Page 320: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/320.jpg)
![Page 321: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/321.jpg)
![Page 322: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/322.jpg)
![Page 323: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/323.jpg)
![Page 324: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/324.jpg)
![Page 325: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/325.jpg)
![Page 326: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/326.jpg)
![Page 327: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/327.jpg)
![Page 328: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/328.jpg)
![Page 329: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/329.jpg)
![Page 330: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/330.jpg)
![Page 331: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/331.jpg)
![Page 332: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/332.jpg)
![Page 333: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/333.jpg)
![Page 334: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/334.jpg)
![Page 335: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/335.jpg)
![Page 336: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/336.jpg)
![Page 337: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/337.jpg)
![Page 338: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/338.jpg)
![Page 339: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/339.jpg)
![Page 340: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/340.jpg)
![Page 341: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/341.jpg)
![Page 342: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/342.jpg)
![Page 343: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/343.jpg)
![Page 344: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/344.jpg)
![Page 345: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/345.jpg)
![Page 346: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/346.jpg)
![Page 347: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/347.jpg)
![Page 348: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/348.jpg)
![Page 349: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/349.jpg)
![Page 350: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/350.jpg)
![Page 351: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/351.jpg)
![Page 352: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/352.jpg)
![Page 353: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/353.jpg)
![Page 354: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/354.jpg)
![Page 355: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/355.jpg)
![Page 356: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/356.jpg)
![Page 357: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/357.jpg)
![Page 358: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/358.jpg)
![Page 359: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/359.jpg)
![Page 360: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/360.jpg)
![Page 361: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/361.jpg)
![Page 362: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/362.jpg)
![Page 363: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/363.jpg)
![Page 364: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/364.jpg)
![Page 365: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/365.jpg)
![Page 366: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/366.jpg)
![Page 367: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/367.jpg)
![Page 368: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/368.jpg)
![Page 369: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/369.jpg)
![Page 370: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/370.jpg)
![Page 371: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/371.jpg)
![Page 372: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/372.jpg)
![Page 373: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/373.jpg)
![Page 374: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/374.jpg)
![Page 375: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/375.jpg)
![Page 376: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/376.jpg)
![Page 377: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/377.jpg)
![Page 378: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/378.jpg)
![Page 379: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/379.jpg)
![Page 380: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/380.jpg)
![Page 381: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/381.jpg)
![Page 382: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/382.jpg)
![Page 383: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/383.jpg)
![Page 384: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/384.jpg)
![Page 385: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/385.jpg)
![Page 386: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/386.jpg)
![Page 387: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/387.jpg)
![Page 388: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/388.jpg)
![Page 389: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/389.jpg)
![Page 390: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/390.jpg)
![Page 391: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/391.jpg)
![Page 392: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/392.jpg)
![Page 393: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/393.jpg)
![Page 394: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/394.jpg)
![Page 395: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/395.jpg)
![Page 396: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/396.jpg)
![Page 397: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/397.jpg)
![Page 398: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/398.jpg)
![Page 399: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/399.jpg)
![Page 400: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/400.jpg)
![Page 401: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/401.jpg)
![Page 402: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/402.jpg)
![Page 403: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/403.jpg)
![Page 404: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/404.jpg)
![Page 405: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/405.jpg)
![Page 406: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/406.jpg)
![Page 407: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/407.jpg)
![Page 408: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/408.jpg)
![Page 409: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/409.jpg)
![Page 410: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/410.jpg)
![Page 411: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/411.jpg)
![Page 412: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/412.jpg)
![Page 413: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/413.jpg)
![Page 414: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/414.jpg)
![Page 415: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/415.jpg)
![Page 416: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/416.jpg)
![Page 417: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/417.jpg)
![Page 418: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/418.jpg)
![Page 419: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/419.jpg)
![Page 420: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/420.jpg)
![Page 421: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/421.jpg)
![Page 422: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/422.jpg)
![Page 423: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/423.jpg)
![Page 424: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/424.jpg)
![Page 425: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/425.jpg)
![Page 426: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/426.jpg)
![Page 427: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/427.jpg)
![Page 428: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/428.jpg)
![Page 429: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/429.jpg)
![Page 430: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/430.jpg)
![Page 431: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/431.jpg)
![Page 432: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/432.jpg)
![Page 433: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/433.jpg)
![Page 434: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/434.jpg)
![Page 435: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/435.jpg)
![Page 436: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/436.jpg)
![Page 437: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/437.jpg)
![Page 438: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/438.jpg)
![Page 439: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/439.jpg)
![Page 440: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/440.jpg)
![Page 441: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/441.jpg)
![Page 442: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/442.jpg)
![Page 443: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/443.jpg)
![Page 444: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/444.jpg)
![Page 445: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/445.jpg)
![Page 446: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/446.jpg)
![Page 447: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/447.jpg)
![Page 448: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/448.jpg)
![Page 449: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/449.jpg)
![Page 450: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/450.jpg)
![Page 451: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/451.jpg)
![Page 452: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/452.jpg)
![Page 453: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/453.jpg)
![Page 454: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/454.jpg)
![Page 455: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/455.jpg)
![Page 456: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/456.jpg)
![Page 457: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/457.jpg)
![Page 458: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/458.jpg)
![Page 459: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/459.jpg)
![Page 460: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/460.jpg)
![Page 461: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/461.jpg)
![Page 462: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/462.jpg)
![Page 463: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/463.jpg)
![Page 464: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/464.jpg)
![Page 465: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/465.jpg)
![Page 466: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/466.jpg)
![Page 467: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/467.jpg)
![Page 468: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/468.jpg)
![Page 469: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/469.jpg)
![Page 470: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/470.jpg)
![Page 471: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/471.jpg)
![Page 472: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/472.jpg)
![Page 473: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/473.jpg)
![Page 474: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/474.jpg)
![Page 475: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/475.jpg)
![Page 476: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/476.jpg)
![Page 477: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/477.jpg)
![Page 478: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/478.jpg)
![Page 479: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/479.jpg)
![Page 480: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/480.jpg)
![Page 481: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/481.jpg)
![Page 482: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/482.jpg)
![Page 483: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/483.jpg)
![Page 484: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/484.jpg)
![Page 485: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/485.jpg)
![Page 486: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/486.jpg)
![Page 487: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/487.jpg)
![Page 488: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/488.jpg)
![Page 489: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/489.jpg)
![Page 490: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/490.jpg)
![Page 491: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/491.jpg)
![Page 492: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/492.jpg)
![Page 493: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/493.jpg)
![Page 494: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/494.jpg)
![Page 495: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/495.jpg)
![Page 496: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/496.jpg)
![Page 497: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/497.jpg)
![Page 498: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/498.jpg)
![Page 499: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/499.jpg)
![Page 500: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/500.jpg)
![Page 501: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/501.jpg)
![Page 502: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/502.jpg)
![Page 503: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/503.jpg)
![Page 504: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/504.jpg)
![Page 505: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/505.jpg)
![Page 506: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/506.jpg)
![Page 507: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/507.jpg)
![Page 508: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/508.jpg)
![Page 509: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/509.jpg)
![Page 510: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/510.jpg)
![Page 511: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/511.jpg)
![Page 512: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/512.jpg)
![Page 513: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/513.jpg)
![Page 514: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/514.jpg)
![Page 515: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/515.jpg)
![Page 516: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/516.jpg)
![Page 517: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/517.jpg)
![Page 518: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/518.jpg)
![Page 519: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/519.jpg)
![Page 520: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/520.jpg)
![Page 521: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/521.jpg)
![Page 522: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/522.jpg)
![Page 523: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/523.jpg)
![Page 524: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/524.jpg)
![Page 525: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/525.jpg)
![Page 526: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/526.jpg)
![Page 527: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/527.jpg)
![Page 528: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/528.jpg)
![Page 529: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/529.jpg)
![Page 530: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/530.jpg)
![Page 531: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/531.jpg)
![Page 532: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/532.jpg)
![Page 533: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/533.jpg)
![Page 534: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/534.jpg)
![Page 535: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/535.jpg)
![Page 536: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/536.jpg)
![Page 537: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/537.jpg)
![Page 538: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/538.jpg)
![Page 539: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/539.jpg)
![Page 540: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/540.jpg)
![Page 541: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/541.jpg)
![Page 542: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/542.jpg)
![Page 543: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/543.jpg)
![Page 544: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/544.jpg)
![Page 545: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/545.jpg)
![Page 546: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/546.jpg)
![Page 547: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/547.jpg)
![Page 548: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/548.jpg)
![Page 549: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/549.jpg)
![Page 550: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/550.jpg)
![Page 551: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/551.jpg)
![Page 552: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/552.jpg)
![Page 553: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/553.jpg)
![Page 554: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/554.jpg)
![Page 555: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/555.jpg)
![Page 556: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/556.jpg)
![Page 557: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/557.jpg)
![Page 558: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/558.jpg)
![Page 559: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/559.jpg)
![Page 560: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/560.jpg)
![Page 561: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/561.jpg)
![Page 562: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/562.jpg)
![Page 563: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/563.jpg)
![Page 564: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/564.jpg)
![Page 565: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/565.jpg)
![Page 566: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/566.jpg)
![Page 567: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/567.jpg)
![Page 568: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/568.jpg)
![Page 569: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/569.jpg)
![Page 570: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/570.jpg)
![Page 571: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/571.jpg)
![Page 572: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/572.jpg)
![Page 573: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/573.jpg)
![Page 574: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/574.jpg)
![Page 575: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/575.jpg)
![Page 576: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/576.jpg)
![Page 577: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/577.jpg)
![Page 578: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/578.jpg)
![Page 579: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/579.jpg)
![Page 580: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/580.jpg)
![Page 581: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/581.jpg)
![Page 582: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/582.jpg)
![Page 583: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/583.jpg)
![Page 584: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/584.jpg)
![Page 585: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/585.jpg)
![Page 586: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/586.jpg)
![Page 587: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/587.jpg)
![Page 588: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/588.jpg)
![Page 589: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/589.jpg)
![Page 590: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/590.jpg)
![Page 591: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/591.jpg)
![Page 592: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/592.jpg)
![Page 593: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/593.jpg)
![Page 594: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/594.jpg)
![Page 595: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/595.jpg)
![Page 596: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/596.jpg)
![Page 597: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/597.jpg)
![Page 598: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/598.jpg)
![Page 599: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/599.jpg)
![Page 600: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/600.jpg)
![Page 601: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/601.jpg)
![Page 602: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/602.jpg)
![Page 603: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/603.jpg)
![Page 604: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/604.jpg)
![Page 605: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/605.jpg)
![Page 606: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/606.jpg)
![Page 607: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/607.jpg)
![Page 608: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/608.jpg)
![Page 609: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/609.jpg)
![Page 610: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/610.jpg)
![Page 611: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/611.jpg)
![Page 612: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/612.jpg)
![Page 613: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/613.jpg)
![Page 614: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/614.jpg)
![Page 615: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/615.jpg)
![Page 616: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/616.jpg)
![Page 617: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/617.jpg)
![Page 618: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/618.jpg)
![Page 619: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/619.jpg)
![Page 620: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/620.jpg)
![Page 621: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/621.jpg)
![Page 622: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/622.jpg)
![Page 623: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/623.jpg)
![Page 624: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/624.jpg)
![Page 625: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/625.jpg)
![Page 626: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/626.jpg)
![Page 627: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/627.jpg)
![Page 628: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/628.jpg)
![Page 629: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/629.jpg)
![Page 630: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/630.jpg)
![Page 631: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/631.jpg)
![Page 632: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/632.jpg)
![Page 633: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/633.jpg)
![Page 634: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/634.jpg)
![Page 635: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/635.jpg)
![Page 636: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/636.jpg)
![Page 637: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/637.jpg)
![Page 638: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/638.jpg)
![Page 639: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/639.jpg)
![Page 640: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/640.jpg)
![Page 641: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/641.jpg)
![Page 642: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/642.jpg)
![Page 643: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/643.jpg)
![Page 644: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/644.jpg)
![Page 645: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/645.jpg)
![Page 646: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/646.jpg)
![Page 647: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/647.jpg)
![Page 648: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/648.jpg)
![Page 649: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/649.jpg)
![Page 650: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/650.jpg)
![Page 651: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/651.jpg)
![Page 652: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/652.jpg)
![Page 653: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/653.jpg)
![Page 654: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/654.jpg)
![Page 655: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/655.jpg)
![Page 656: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/656.jpg)
![Page 657: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/657.jpg)
![Page 658: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/658.jpg)
![Page 659: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/659.jpg)
![Page 660: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/660.jpg)
![Page 661: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/661.jpg)
![Page 662: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/662.jpg)
![Page 663: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/663.jpg)
![Page 664: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/664.jpg)
![Page 665: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/665.jpg)
![Page 666: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/666.jpg)
![Page 667: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/667.jpg)
![Page 668: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/668.jpg)
![Page 669: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/669.jpg)
![Page 670: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/670.jpg)
![Page 671: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/671.jpg)
![Page 672: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/672.jpg)
![Page 673: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/673.jpg)
![Page 674: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/674.jpg)
![Page 675: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/675.jpg)
![Page 676: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/676.jpg)
![Page 677: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/677.jpg)
![Page 678: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/678.jpg)
![Page 679: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/679.jpg)
![Page 680: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/680.jpg)
![Page 681: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/681.jpg)
![Page 682: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/682.jpg)
![Page 683: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/683.jpg)
![Page 684: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/684.jpg)
![Page 685: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/685.jpg)
![Page 686: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/686.jpg)
![Page 687: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/687.jpg)
![Page 688: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/688.jpg)
![Page 689: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/689.jpg)
![Page 690: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/690.jpg)
![Page 691: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/691.jpg)
![Page 692: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/692.jpg)
![Page 693: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/693.jpg)
![Page 694: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/694.jpg)
![Page 695: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/695.jpg)
![Page 696: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/696.jpg)
![Page 697: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/697.jpg)
![Page 698: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/698.jpg)
![Page 699: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/699.jpg)
![Page 700: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/700.jpg)
![Page 701: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/701.jpg)
![Page 702: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/702.jpg)
![Page 703: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/703.jpg)
![Page 704: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/704.jpg)
![Page 705: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/705.jpg)
![Page 706: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/706.jpg)
![Page 707: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/707.jpg)
![Page 708: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/708.jpg)
![Page 709: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/709.jpg)
![Page 710: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/710.jpg)
![Page 711: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/711.jpg)
![Page 712: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/712.jpg)
![Page 713: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/713.jpg)
![Page 714: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/714.jpg)
![Page 715: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/715.jpg)
![Page 716: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/716.jpg)
![Page 717: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/717.jpg)
![Page 718: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/718.jpg)
![Page 719: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/719.jpg)
![Page 720: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/720.jpg)
![Page 721: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/721.jpg)
![Page 722: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/722.jpg)
![Page 723: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/723.jpg)
![Page 724: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/724.jpg)
![Page 725: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/725.jpg)
![Page 726: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/726.jpg)
![Page 727: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/727.jpg)
![Page 728: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/728.jpg)
![Page 729: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/729.jpg)
![Page 730: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/730.jpg)
![Page 731: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/731.jpg)
![Page 732: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/732.jpg)
![Page 733: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/733.jpg)
![Page 734: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/734.jpg)
![Page 735: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/735.jpg)
![Page 736: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/736.jpg)
![Page 737: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/737.jpg)
![Page 738: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/738.jpg)
![Page 739: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/739.jpg)
![Page 740: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/740.jpg)
![Page 741: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/741.jpg)
![Page 742: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/742.jpg)
![Page 743: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/743.jpg)
![Page 744: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/744.jpg)
![Page 745: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/745.jpg)
![Page 746: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/746.jpg)
![Page 747: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/747.jpg)
![Page 748: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/748.jpg)
![Page 749: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/749.jpg)
![Page 750: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/750.jpg)
![Page 751: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/751.jpg)
![Page 752: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/752.jpg)
![Page 753: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/753.jpg)
![Page 754: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/754.jpg)
![Page 755: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/755.jpg)
![Page 756: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/756.jpg)
![Page 757: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/757.jpg)
![Page 758: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/758.jpg)
![Page 759: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/759.jpg)
![Page 760: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/760.jpg)
![Page 761: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/761.jpg)
![Page 762: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/762.jpg)
![Page 763: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/763.jpg)
![Page 764: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/764.jpg)
![Page 765: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/765.jpg)
![Page 766: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/766.jpg)
![Page 767: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/767.jpg)
![Page 768: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/768.jpg)
![Page 769: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/769.jpg)
![Page 770: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/770.jpg)
![Page 771: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/771.jpg)
![Page 772: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/772.jpg)
![Page 773: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/773.jpg)
![Page 774: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/774.jpg)
![Page 775: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/775.jpg)
![Page 776: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/776.jpg)
![Page 777: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/777.jpg)
![Page 778: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/778.jpg)
![Page 779: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/779.jpg)
![Page 780: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/780.jpg)
![Page 781: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/781.jpg)
![Page 782: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/782.jpg)
![Page 783: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/783.jpg)
![Page 784: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/784.jpg)
![Page 785: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/785.jpg)
![Page 786: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/786.jpg)
![Page 787: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/787.jpg)
![Page 788: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/788.jpg)
![Page 789: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/789.jpg)
![Page 790: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/790.jpg)
![Page 791: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/791.jpg)
![Page 792: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/792.jpg)
![Page 793: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/793.jpg)
![Page 794: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/794.jpg)
![Page 795: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/795.jpg)
![Page 796: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/796.jpg)
![Page 797: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/797.jpg)
![Page 798: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/798.jpg)
![Page 799: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/799.jpg)
![Page 800: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/800.jpg)
![Page 801: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/801.jpg)
![Page 802: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/802.jpg)
![Page 803: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/803.jpg)
![Page 804: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/804.jpg)
![Page 805: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/805.jpg)
![Page 806: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/806.jpg)
![Page 807: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/807.jpg)
![Page 808: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/808.jpg)
![Page 809: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/809.jpg)
![Page 810: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/810.jpg)
![Page 811: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/811.jpg)
![Page 812: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/812.jpg)
![Page 813: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/813.jpg)
![Page 814: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/814.jpg)
![Page 815: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/815.jpg)
![Page 816: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/816.jpg)
![Page 817: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/817.jpg)
![Page 818: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/818.jpg)
![Page 819: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/819.jpg)
![Page 820: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/820.jpg)
![Page 821: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/821.jpg)
![Page 822: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/822.jpg)
![Page 823: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/823.jpg)
![Page 824: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/824.jpg)
![Page 825: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/825.jpg)
![Page 826: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/826.jpg)
![Page 827: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/827.jpg)
![Page 828: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/828.jpg)
![Page 829: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/829.jpg)
![Page 830: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/830.jpg)
![Page 831: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/831.jpg)
![Page 832: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/832.jpg)
![Page 833: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/833.jpg)
![Page 834: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/834.jpg)
![Page 835: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/835.jpg)
![Page 836: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/836.jpg)
![Page 837: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/837.jpg)
![Page 838: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/838.jpg)
![Page 839: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/839.jpg)
![Page 840: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/840.jpg)
![Page 841: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/841.jpg)
![Page 842: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/842.jpg)
![Page 843: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/843.jpg)
![Page 844: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/844.jpg)
![Page 845: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/845.jpg)
![Page 846: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/846.jpg)
![Page 847: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/847.jpg)
![Page 848: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/848.jpg)
![Page 849: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/849.jpg)
![Page 850: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/850.jpg)
![Page 851: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/851.jpg)
![Page 852: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/852.jpg)
![Page 853: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/853.jpg)
![Page 854: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/854.jpg)
![Page 855: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/855.jpg)
![Page 856: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/856.jpg)
![Page 857: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/857.jpg)
![Page 858: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/858.jpg)
![Page 859: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/859.jpg)
![Page 860: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/860.jpg)
![Page 861: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/861.jpg)
![Page 862: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/862.jpg)
![Page 863: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/863.jpg)
![Page 864: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/864.jpg)
![Page 865: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/865.jpg)
![Page 866: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/866.jpg)
![Page 867: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/867.jpg)
![Page 868: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/868.jpg)
![Page 869: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/869.jpg)
![Page 870: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/870.jpg)
![Page 871: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/871.jpg)
![Page 872: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/872.jpg)
![Page 873: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/873.jpg)
![Page 874: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/874.jpg)
![Page 875: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/875.jpg)
![Page 876: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/876.jpg)
![Page 877: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/877.jpg)
![Page 878: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/878.jpg)
![Page 879: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/879.jpg)
![Page 880: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/880.jpg)
![Page 881: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/881.jpg)
![Page 882: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/882.jpg)
![Page 883: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/883.jpg)
![Page 884: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/884.jpg)
![Page 885: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/885.jpg)
![Page 886: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/886.jpg)
![Page 887: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/887.jpg)
![Page 888: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/888.jpg)
![Page 889: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/889.jpg)
![Page 890: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/890.jpg)
![Page 891: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/891.jpg)
![Page 892: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/892.jpg)
![Page 893: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/893.jpg)
![Page 894: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/894.jpg)
![Page 895: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/895.jpg)
![Page 896: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/896.jpg)
![Page 897: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/897.jpg)
![Page 898: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/898.jpg)
![Page 899: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/899.jpg)
![Page 900: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/900.jpg)
![Page 901: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/901.jpg)
![Page 902: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/902.jpg)
![Page 903: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/903.jpg)
![Page 904: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/904.jpg)
![Page 905: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/905.jpg)
![Page 906: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/906.jpg)
![Page 907: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/907.jpg)
![Page 908: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/908.jpg)
![Page 909: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/909.jpg)
![Page 910: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/910.jpg)
![Page 911: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/911.jpg)
![Page 912: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/912.jpg)
![Page 913: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/913.jpg)
![Page 914: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/914.jpg)
![Page 915: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/915.jpg)
![Page 916: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/916.jpg)
![Page 917: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/917.jpg)
![Page 918: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/918.jpg)
![Page 919: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/919.jpg)
![Page 920: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/920.jpg)
![Page 921: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/921.jpg)
![Page 922: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/922.jpg)
![Page 923: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/923.jpg)
![Page 924: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/924.jpg)
![Page 925: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/925.jpg)
![Page 926: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/926.jpg)
![Page 927: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/927.jpg)
![Page 928: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/928.jpg)
![Page 929: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/929.jpg)
![Page 930: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/930.jpg)
![Page 931: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/931.jpg)
![Page 932: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/932.jpg)
![Page 933: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/933.jpg)
![Page 934: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/934.jpg)
![Page 935: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/935.jpg)
![Page 936: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/936.jpg)
![Page 937: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/937.jpg)
![Page 938: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/938.jpg)
![Page 939: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/939.jpg)
![Page 940: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/940.jpg)
![Page 941: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/941.jpg)
![Page 942: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/942.jpg)
![Page 943: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/943.jpg)
![Page 944: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/944.jpg)
![Page 945: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/945.jpg)
![Page 946: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/946.jpg)
![Page 947: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/947.jpg)
![Page 948: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/948.jpg)
![Page 949: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/949.jpg)
![Page 950: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/950.jpg)
![Page 951: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/951.jpg)
![Page 952: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/952.jpg)
![Page 953: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/953.jpg)
![Page 954: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/954.jpg)
![Page 955: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/955.jpg)
![Page 956: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/956.jpg)
![Page 957: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/957.jpg)
![Page 958: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/958.jpg)
![Page 959: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/959.jpg)
![Page 960: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/960.jpg)
![Page 961: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/961.jpg)
![Page 962: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/962.jpg)
![Page 963: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/963.jpg)
![Page 964: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/964.jpg)
![Page 965: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/965.jpg)
![Page 966: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/966.jpg)
![Page 967: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/967.jpg)
![Page 968: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/968.jpg)
![Page 969: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/969.jpg)
![Page 970: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/970.jpg)
![Page 971: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/971.jpg)
![Page 972: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/972.jpg)
![Page 973: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/973.jpg)
![Page 974: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/974.jpg)
![Page 975: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/975.jpg)
![Page 976: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/976.jpg)
![Page 977: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/977.jpg)
![Page 978: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/978.jpg)
![Page 979: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/979.jpg)
![Page 980: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/980.jpg)
![Page 981: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/981.jpg)
![Page 982: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/982.jpg)
![Page 983: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/983.jpg)
![Page 984: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/984.jpg)
![Page 985: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/985.jpg)
![Page 986: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/986.jpg)
![Page 987: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/987.jpg)
![Page 988: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/988.jpg)
![Page 989: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/989.jpg)
![Page 990: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/990.jpg)
![Page 991: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/991.jpg)
![Page 992: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/992.jpg)
![Page 993: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/993.jpg)
![Page 994: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/994.jpg)
![Page 995: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/995.jpg)
![Page 996: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/996.jpg)
![Page 997: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/997.jpg)
![Page 998: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/998.jpg)
![Page 999: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/999.jpg)
![Page 1000: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1000.jpg)
![Page 1001: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1001.jpg)
![Page 1002: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1002.jpg)
![Page 1003: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1003.jpg)
![Page 1004: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1004.jpg)
![Page 1005: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1005.jpg)
![Page 1006: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1006.jpg)
![Page 1007: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1007.jpg)
![Page 1008: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1008.jpg)
![Page 1009: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1009.jpg)
![Page 1010: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1010.jpg)
![Page 1011: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1011.jpg)
![Page 1012: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1012.jpg)
![Page 1013: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1013.jpg)
![Page 1014: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1014.jpg)
![Page 1015: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1015.jpg)
![Page 1016: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1016.jpg)
![Page 1017: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1017.jpg)
![Page 1018: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1018.jpg)
![Page 1019: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1019.jpg)
![Page 1020: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1020.jpg)
![Page 1021: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1021.jpg)
![Page 1022: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1022.jpg)
![Page 1023: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1023.jpg)
![Page 1024: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1024.jpg)
![Page 1025: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1025.jpg)
![Page 1026: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1026.jpg)
![Page 1027: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1027.jpg)
![Page 1028: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1028.jpg)
![Page 1029: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1029.jpg)
![Page 1030: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1030.jpg)
![Page 1031: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1031.jpg)
![Page 1032: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1032.jpg)
![Page 1033: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1033.jpg)
![Page 1034: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1034.jpg)
![Page 1035: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1035.jpg)
![Page 1036: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1036.jpg)
![Page 1037: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1037.jpg)
![Page 1038: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1038.jpg)
![Page 1039: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1039.jpg)
![Page 1040: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1040.jpg)
![Page 1041: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1041.jpg)
![Page 1042: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1042.jpg)
![Page 1043: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1043.jpg)
![Page 1044: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1044.jpg)
![Page 1045: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1045.jpg)
![Page 1046: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1046.jpg)
![Page 1047: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1047.jpg)
![Page 1048: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1048.jpg)
![Page 1049: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1049.jpg)
![Page 1050: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1050.jpg)
![Page 1051: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1051.jpg)
![Page 1052: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1052.jpg)
![Page 1053: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1053.jpg)
![Page 1054: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1054.jpg)
![Page 1055: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1055.jpg)
![Page 1056: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1056.jpg)
![Page 1057: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1057.jpg)
![Page 1058: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1058.jpg)
![Page 1059: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1059.jpg)
![Page 1060: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1060.jpg)
![Page 1061: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1061.jpg)
![Page 1062: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1062.jpg)
![Page 1063: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1063.jpg)
![Page 1064: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1064.jpg)
![Page 1065: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1065.jpg)
![Page 1066: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1066.jpg)
![Page 1067: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1067.jpg)
![Page 1068: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1068.jpg)
![Page 1069: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1069.jpg)
![Page 1070: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1070.jpg)
![Page 1071: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1071.jpg)
![Page 1072: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1072.jpg)
![Page 1073: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1073.jpg)
![Page 1074: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1074.jpg)
![Page 1075: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1075.jpg)
![Page 1076: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1076.jpg)
![Page 1077: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1077.jpg)
![Page 1078: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1078.jpg)
![Page 1079: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1079.jpg)
![Page 1080: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1080.jpg)
![Page 1081: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1081.jpg)
![Page 1082: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1082.jpg)
![Page 1083: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1083.jpg)
![Page 1084: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1084.jpg)
![Page 1085: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1085.jpg)
![Page 1086: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1086.jpg)
![Page 1087: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1087.jpg)
![Page 1088: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1088.jpg)
![Page 1089: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1089.jpg)
![Page 1090: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1090.jpg)
![Page 1091: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1091.jpg)
![Page 1092: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1092.jpg)
![Page 1093: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1093.jpg)
![Page 1094: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1094.jpg)
![Page 1095: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1095.jpg)
![Page 1096: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1096.jpg)
![Page 1097: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1097.jpg)
![Page 1098: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1098.jpg)
![Page 1099: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1099.jpg)
![Page 1100: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1100.jpg)
![Page 1101: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1101.jpg)
![Page 1102: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1102.jpg)
![Page 1103: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1103.jpg)
![Page 1104: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1104.jpg)
![Page 1105: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1105.jpg)
![Page 1106: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1106.jpg)
![Page 1107: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1107.jpg)
![Page 1108: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1108.jpg)
![Page 1109: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1109.jpg)
![Page 1110: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1110.jpg)
![Page 1111: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1111.jpg)
![Page 1112: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1112.jpg)
![Page 1113: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1113.jpg)
![Page 1114: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1114.jpg)
![Page 1115: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1115.jpg)
![Page 1116: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1116.jpg)
![Page 1117: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1117.jpg)
![Page 1118: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1118.jpg)
![Page 1119: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1119.jpg)
![Page 1120: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1120.jpg)
![Page 1121: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1121.jpg)
![Page 1122: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1122.jpg)
![Page 1123: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1123.jpg)
![Page 1124: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1124.jpg)
![Page 1125: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1125.jpg)
![Page 1126: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1126.jpg)
![Page 1127: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1127.jpg)
![Page 1128: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1128.jpg)
![Page 1129: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1129.jpg)
![Page 1130: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1130.jpg)
![Page 1131: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1131.jpg)
![Page 1132: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1132.jpg)
![Page 1133: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1133.jpg)
![Page 1134: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1134.jpg)
![Page 1135: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1135.jpg)
![Page 1136: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1136.jpg)
![Page 1137: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1137.jpg)
![Page 1138: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1138.jpg)
![Page 1139: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1139.jpg)
![Page 1140: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1140.jpg)
![Page 1141: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1141.jpg)
![Page 1142: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1142.jpg)
![Page 1143: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1143.jpg)
![Page 1144: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1144.jpg)
![Page 1145: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1145.jpg)
![Page 1146: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1146.jpg)
![Page 1147: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1147.jpg)
![Page 1148: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1148.jpg)
![Page 1149: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1149.jpg)
![Page 1150: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1150.jpg)
![Page 1151: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1151.jpg)
![Page 1152: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1152.jpg)
![Page 1153: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1153.jpg)
![Page 1154: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1154.jpg)
![Page 1155: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1155.jpg)
![Page 1156: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1156.jpg)
![Page 1157: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1157.jpg)
![Page 1158: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1158.jpg)
![Page 1159: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1159.jpg)
![Page 1160: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1160.jpg)
![Page 1161: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1161.jpg)
![Page 1162: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1162.jpg)
![Page 1163: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1163.jpg)
![Page 1164: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1164.jpg)
![Page 1165: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1165.jpg)
![Page 1166: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1166.jpg)
![Page 1167: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1167.jpg)
![Page 1168: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1168.jpg)
![Page 1169: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1169.jpg)
![Page 1170: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1170.jpg)
![Page 1171: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1171.jpg)
![Page 1172: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1172.jpg)
![Page 1173: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1173.jpg)
![Page 1174: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1174.jpg)
![Page 1175: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1175.jpg)
![Page 1176: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1176.jpg)
![Page 1177: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1177.jpg)
![Page 1178: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1178.jpg)
![Page 1179: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1179.jpg)
![Page 1180: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1180.jpg)
![Page 1181: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1181.jpg)
![Page 1182: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1182.jpg)
![Page 1183: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1183.jpg)
![Page 1184: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1184.jpg)
![Page 1185: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1185.jpg)
![Page 1186: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1186.jpg)
![Page 1187: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1187.jpg)
![Page 1188: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1188.jpg)
![Page 1189: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1189.jpg)
![Page 1190: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1190.jpg)
![Page 1191: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1191.jpg)
![Page 1192: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1192.jpg)
![Page 1193: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1193.jpg)
![Page 1194: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1194.jpg)
![Page 1195: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1195.jpg)
![Page 1196: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1196.jpg)
![Page 1197: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1197.jpg)
![Page 1198: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1198.jpg)
![Page 1199: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1199.jpg)
![Page 1200: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1200.jpg)
![Page 1201: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1201.jpg)
![Page 1202: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1202.jpg)
![Page 1203: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1203.jpg)
![Page 1204: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1204.jpg)
![Page 1205: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1205.jpg)
![Page 1206: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1206.jpg)
![Page 1207: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1207.jpg)
![Page 1208: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1208.jpg)
![Page 1209: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1209.jpg)
![Page 1210: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1210.jpg)
![Page 1211: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1211.jpg)
![Page 1212: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1212.jpg)
![Page 1213: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1213.jpg)
![Page 1214: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1214.jpg)
![Page 1215: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1215.jpg)
![Page 1216: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1216.jpg)
![Page 1217: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1217.jpg)
![Page 1218: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1218.jpg)
![Page 1219: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1219.jpg)
![Page 1220: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1220.jpg)
![Page 1221: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1221.jpg)
![Page 1222: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1222.jpg)
![Page 1223: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1223.jpg)
![Page 1224: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1224.jpg)
![Page 1225: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1225.jpg)
![Page 1226: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1226.jpg)
![Page 1227: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1227.jpg)
![Page 1228: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1228.jpg)
![Page 1229: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1229.jpg)
![Page 1230: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1230.jpg)
![Page 1231: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1231.jpg)
![Page 1232: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1232.jpg)
![Page 1233: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1233.jpg)
![Page 1234: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1234.jpg)
![Page 1235: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1235.jpg)
![Page 1236: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1236.jpg)
![Page 1237: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1237.jpg)
![Page 1238: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1238.jpg)
![Page 1239: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1239.jpg)
![Page 1240: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1240.jpg)
![Page 1241: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1241.jpg)
![Page 1242: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1242.jpg)
![Page 1243: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1243.jpg)
![Page 1244: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1244.jpg)
![Page 1245: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1245.jpg)
![Page 1246: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1246.jpg)
![Page 1247: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1247.jpg)
![Page 1248: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1248.jpg)
![Page 1249: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1249.jpg)
![Page 1250: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1250.jpg)
![Page 1251: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1251.jpg)
![Page 1252: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1252.jpg)
![Page 1253: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1253.jpg)
![Page 1254: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1254.jpg)
![Page 1255: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1255.jpg)
![Page 1256: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1256.jpg)
![Page 1257: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1257.jpg)
![Page 1258: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1258.jpg)
![Page 1259: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1259.jpg)
![Page 1260: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1260.jpg)
![Page 1261: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1261.jpg)
![Page 1262: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1262.jpg)
![Page 1263: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1263.jpg)
![Page 1264: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1264.jpg)
![Page 1265: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1265.jpg)
![Page 1266: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1266.jpg)
![Page 1267: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1267.jpg)
![Page 1268: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1268.jpg)
![Page 1269: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1269.jpg)
![Page 1270: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1270.jpg)
![Page 1271: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1271.jpg)
![Page 1272: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1272.jpg)
![Page 1273: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1273.jpg)
![Page 1274: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1274.jpg)
![Page 1275: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1275.jpg)
![Page 1276: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1276.jpg)
![Page 1277: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1277.jpg)
![Page 1278: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1278.jpg)
![Page 1279: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1279.jpg)
![Page 1280: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1280.jpg)
![Page 1281: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1281.jpg)
![Page 1282: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1282.jpg)
![Page 1283: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1283.jpg)
![Page 1284: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1284.jpg)
![Page 1285: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1285.jpg)
![Page 1286: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1286.jpg)
![Page 1287: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1287.jpg)
![Page 1288: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1288.jpg)
![Page 1289: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1289.jpg)
![Page 1290: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1290.jpg)
![Page 1291: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1291.jpg)
![Page 1292: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1292.jpg)
![Page 1293: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1293.jpg)
![Page 1294: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1294.jpg)
![Page 1295: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1295.jpg)
![Page 1296: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1296.jpg)
![Page 1297: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1297.jpg)
![Page 1298: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1298.jpg)
![Page 1299: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1299.jpg)
![Page 1300: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1300.jpg)
![Page 1301: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1301.jpg)
![Page 1302: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1302.jpg)
![Page 1303: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1303.jpg)
![Page 1304: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1304.jpg)
![Page 1305: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1305.jpg)
![Page 1306: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1306.jpg)
![Page 1307: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1307.jpg)
![Page 1308: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1308.jpg)
![Page 1309: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1309.jpg)
![Page 1310: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1310.jpg)
![Page 1311: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1311.jpg)
![Page 1312: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1312.jpg)
![Page 1313: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1313.jpg)
![Page 1314: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1314.jpg)
![Page 1315: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1315.jpg)
![Page 1316: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1316.jpg)
![Page 1317: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1317.jpg)
![Page 1318: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1318.jpg)
![Page 1319: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1319.jpg)
![Page 1320: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1320.jpg)
![Page 1321: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1321.jpg)
![Page 1322: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1322.jpg)
![Page 1323: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1323.jpg)
![Page 1324: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1324.jpg)
![Page 1325: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1325.jpg)
![Page 1326: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1326.jpg)
![Page 1327: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1327.jpg)
![Page 1328: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1328.jpg)
The new policy.
• Elective surgery patients:
– Fast from food for 8 hours after meat, fried or fatty foods
– Fast from food for 6 hours after a light meal, milk, juice, cordial, carbonated drinks, tea or coffee. Lollies and chewing gum are also not permitted.
– Patients may drink water until 2 hours prior to surgery.
– The last drink of water should not exceed 150mls. That is, if the patient has to fast from 10am, they may only have 150mls water from 9am to 10am.
– Small sips of water may be given with medications.
![Page 1329: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1329.jpg)
The new policy.
Elective surgery cont..
Morning lists:
– Will fast from solids from midnight but may drink water until 6am (maximum last drink 150mls)
Afternoon lists:
– Will fast from solids after a light breakfast at 6am but may drink water until 10am (max last drink 150mls)
All day lists:
– Have to fast as for morning lists as the list may be subject to change.
![Page 1330: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1330.jpg)
The new policy.
Emergency surgery:
– Discuss with medical staff.
– Unless otherwise stated, to remain fasting from all food, drinks, chewing gum etc.
– Consider IV fluid therapy.
• NB – there may be some exceptions to this regimen – such as patients requiring bowel prep who will be prescribed a low residue / clear fluid diet 24 hours prior to surgery
![Page 1331: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1331.jpg)
The new policy.
“Nutricia” high carbohydrate drink:
– Certain surgical units, including those with “fast track” patients, allow a carbohydrate drink “Nutricia” to be given pre-operatively.
– For those with no risk of delayed gastric emptying this is prescribed 2 hours pre-operatively.
– Patients with risks of delayed gastric emptying may still be given this drink 6 hours pre-operatively.
![Page 1332: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1332.jpg)
What about medications?
• Unless otherwise stated, all oral medications should be continued whilst the patient is fasting.
• This includes slow release opioids and cardiac medications.• Medications which may be held after discussion with medical
staff include;– Those that have to be given with food, such as NSAID’s– Those that need to be given with lots of water, such as
biphosphonates.– Oral anti-hyperglycaemics.
• NB patients may have diuretics held for minor surgery of a long duration under regional analgesia +/- sedation due to concerns about incontinence
![Page 1333: A guide to pre-operative fasting](https://reader038.vdocuments.mx/reader038/viewer/2022102603/54727919b4af9ff7658b457f/html5/thumbnails/1333.jpg)
References
• For a list of supporting evidence please refer to the JBI Pre-operative Care: Fasting procedure.
• This is located in the TQEH clinical practice manual available on the hospital intranet.
• http://qehintranet/tqeh/policies_procedures/policies_procedures_tqeh/clinical_manuals/clinical_practice_manual_new.jsp