2020
DOI: 10.1055/s-0040-1712994
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Abstract: Objective To investigate the effects of preoperative fasting abbreviation with a carbohydrate and protein-enriched solution, on postoperative nausea and vomiting (PONV) incidence in gynecological surgery patients, a population naturally at risk for such unpleasant episodes. Methods The present prospective double-blind randomized study was performed at The Hospital Municipal e Maternidade Dr. Odelmo Leão Carneiro (HMMOLC, in the Portuguese acronym), in Uberlândia, state of Minas Gerais, Brazil, in par… Show more

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Cited by 8 publications
(13 citation statements)
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“…12 Various studies and guidelines have clearly recommended preoperative fasting times, 13 14 and preoperative fasting abbreviation protocols such as enhanced recovery after surgery could avoid nausea, vomiting and ileus and accelerate postoperative recovery. [15][16][17][18] As an important part of perioperative nutrition, early feeding after surgery has been shown to accelerate postoperative bowel function recovery. 19 20 Previous studies have supported early intake after gastrointestinal surgery and total laryngectomy, with some guidelines recommending early oral feeding after surgery.…”
Section: Discussionmentioning
confidence: 99%
“…12 Various studies and guidelines have clearly recommended preoperative fasting times, 13 14 and preoperative fasting abbreviation protocols such as enhanced recovery after surgery could avoid nausea, vomiting and ileus and accelerate postoperative recovery. [15][16][17][18] As an important part of perioperative nutrition, early feeding after surgery has been shown to accelerate postoperative bowel function recovery. 19 20 Previous studies have supported early intake after gastrointestinal surgery and total laryngectomy, with some guidelines recommending early oral feeding after surgery.…”
Section: Discussionmentioning
confidence: 99%
“…The body of evidence included 139 studies (adult surgical: 99 randomized controlled trials, 23–34,36–64,68–86,91,118–157 7 nonrandomized trials, 65,66,87,152,158–160 3 prospective cohort studies, 90,161,162 2 retrospective cohort studies, 163,164 1 case-control study, 165 and 2 before–after studies 67,166 ; adult nonsurgical: 1 randomized controlled trial, 167 9 crossover, 168–176 and 2 nonrandomized trials 177,178 ; pediatric surgical: 9 randomized controlled trials, 100,113,179–185 1 prospective cohort 186 ; and pediatric nonsurgical: 2 randomized controlled trial, 102,104 1 crossover, 35 and 1 prospective cohort 103 ) comparing carbohydrate-containing clear liquids (simple, complex) with water, placebo, or fasting. In the carbohydrate arms, liquids were allowed an average of 2.25 h before surgery (80% until 2 h).…”
Section: Appendix: Study and Patient Characteristicsmentioning
confidence: 99%
“…The authors applied in practice the main recommendations from ERAS protocol (Fig. 1), such as abbreviation for preoperative fasting with 400 ml of clear liquid enriched with carbohydrate and protein 4 hours before urogynecological surgeries (preoperative period), according to previous publications, thromboprophylaxis recommendations in addition to other simple practices such as early oral feeding and pain control to facilitate early ambulation (postoperative period) [11][12][13][14].…”
Section: Participants and Settingsmentioning
confidence: 99%