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This proposes challenges in depth and quality of evidence as the literature still provides little to no true evidence-based guidance regarding the pre-operative duration of fasting time or medication, withholding time for this patient population

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macrophages) may influence the Th1/Th2 cytokine response pattern and promote a balanced immune reaction.

Only 27.7% and 7.8% of the enrolled patients were women or aged 75 years or older, respectively [81]