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There is insufficient evidence to recommend the routine use of antacids, metoclopramide or H 2 -receptor antagonists before elective surgery in non-obstetric patients, but an H 2 -receptor antagonist should be given before elective caesarean section, with an intravenous H 2 -receptor antagonist given prior to emergency caesarean section, supplemented with 30 ml of 0.3 mol l 1 sodium citrate if general anaesthesia is planned