Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: a prospective randomized clinical trial

Zani, Fabiana Vieira Breijão; Aguilar-Nascimento, José Eduardo de; Nascimento, Diana Borges Dock; Silva, Ageo Mário Cândido da; Caporossi, Fernanda Stephan; Caporossi, Cervantes

doi:10.1590/s1679-45082015ao3251

Cited by 7 publications

(3 citation statements)

References 28 publications

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“…A recent review of studies showed that the abbreviation of preoperative fasting with a drink enriched with carbohydrates or carbohydrates and glutamine proved to be effective in the care of surgical patients, optimizing the recovery of the postoperative period. Abbreviation of preoperative fasting time with ingestion of maltodextrin solution is beneficial to pulmonary function and preserves dominant handgrip strength [38,39].…”

Section: Prospective Randomized Clinical Trial Conducted In a Brazilianmentioning

confidence: 99%

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Imbelloni¹,

Araujo²,

Sakamoto³

et al. 2020

J Sur Anesth Res

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In 2010, we started implementing the ACERTO project in a hospital in the northeast of the Brazilian Public Health (SUS) after five weeks with all stakeholders involved in the departments of Anesthesiology, Orthopedics, Geriatrics, Nutrition, Nursing, Physiotherapy, Psychology and Social Service. In the same way as in other hospitals, the implementation of fast track surgery was not obtained by all departments and all health professionals. The use of ACERTO protocol with clinical measures of accelerating patient recovery decreased length of stay, the number of suspensions of surgery, the need for ICU, the use of vesical catheter, the time of fasting, the time of oral food reintroduction, high earlier and faster return to family life, working as humanization of treatment to the elderly. Analgesia in all patients was obtained with local anesthetics through different plexus blocks with neurostimulator and no patient used spinal opioids. In medicine the vast majority is terribly attached to their arguments and no one is willing to give in to new truths. Dreaming costs nothing and the implementation of the ACERTO Project will cost nothing to any institution

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Section: Prospective Randomized Clinical Trial Conducted In a Brazilianmentioning

confidence: 99%

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Imbelloni¹,

Araujo²,

Sakamoto³

et al. 2020

J Sur Anesth Res

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“…The preoperative fasting time also influences functional parameters, such as the strength of the palmar grip determined by dynamometry, an indicator of postoperative complications related to worsening of functional status during hospitalization 19 , 31 . In a study conducted by Zani et al 31 patients who received carbohydrate solution, 6 h (400 ml) and 2 h (200 ml) before the surgical procedure containing 50 g and 25 g of maltodextrin, respectively, presented higher values of the strength of palmar grip, both in the dominant and in the non-dominant hand. According to these authors, the group that received the intervention showed a significant improvement in respiratory function, assessed by the peak of expiratory flow in the first second and greater forced vital capacity, in comparison to the group that remained fast.…”

Section: Resultsmentioning

confidence: 99%

Pre-Operative Fasting: Why Abbreviate?

Campos

Neto

Guedes

et al. 2018

ABCD, arq. bras. cir. dig.

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Introduction : Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence. Aim : To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations. Method : Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected. Results : The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine. Conclusion : The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.

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“…( 21 ) The literature shows that fasting is harmful and that a dietary intake, even if only liquid, can improve HGS. ( 23 , 24 )…”

Section: Discussionmentioning

confidence: 99%

Effects of overnight fasting on handgrip strength in inpatients

Correa-Arruda¹,

Vaez²,

Aguilar-Nascimento³

et al. 2018

Einstein (São Paulo)

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Objective:To investigate the effects of overnight fasting on handgrip strength of adult inpatients.Methods:A prospective clinical study enrolling 221 adult patients. The endpoints were handgrip strength obtained by dynamometry in three time points (morning after an overnight fasting, after breakfast and after lunch) and the cumulative handgrip strength (mean of handgrip strength after breakfast and lunch) in the same day. The mean of three handgrip strength measures was considered to represent each time point. A cut-off for the mean overnight fasting handgrip strength at the 50th percentile (35.5kg for males and 27.7kg for females) was used for comparisons. We registered the age, sex, current and usual weight (kg), weight loss (kg), diagnosis of cancer, nutritional status, elderly frequency, digestive tract symptoms, type of oral diet, and the amount of dinner ingested the night before handgrip strength (zero intake, until 50%, <100% and 100%).Results:Handgrip strength evaluated after an overnight fasting (31.2±8.7kg) was lesser when compared with handgrip strength after breakfast (31.6±8.8kg; p=0.01), and with cumulative handgrip strength (31.7±8.8kg; p<0.001). Handgrip strength was greater in patients who ingested 100% (33.2±9.1kg versus 30.4±8.4kg; p=0.03) and above 50% of dinner (32.1±8.4kg versus 28.6±8.8kg; p=0.006). Multivariate analysis showed that ingesting below 50% of dinner, severe malnutrition, and elderly were independent factors for handgrip strength reduction after overnight fasting.Conclusion:The muscular function was impaired after an overnight fasting of adult patients hospitalized for medical treatment, especially for those with low ingestion, malnourished and elderly.

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Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: a prospective randomized clinical trial

Cited by 7 publications

References 28 publications

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Fast Track (Acerto) in Elderly Patients for Hip Orthopedic Surgeries. Ten Years of Experience

Pre-Operative Fasting: Why Abbreviate?

Effects of overnight fasting on handgrip strength in inpatients

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