Quote from RedCell
I routinely dilute my bicitra with atleast 500-1000ml of fruit punch flavored gatorade. The patients all love it. Also, you get to see whether or not your assistant really knows how to maintain cricoid pressure (not that I believe all that much in Sellick's maneuver anways).
You are kidding right? 500-1000ml right before surgery. That would totally defeat the idea of being NPO, and greatly increase the chance of aspiration pneumonia/Mendelson's syndrome. It is controversial enough just giving a full dose of bicitra because although bicitra helps neutralize acidity it increases the overall recommended volume of 25cc (0.4ml/kg) in the stomach.
In other words it is not recommended to mix bicitra with anything, if you are using it as a prophylactic antacid prior to surgery. http://www.asahq.org/Newsletters/199...mendelson.html