Does Abbreviation of Preoperative Fasting to Two Hours with Carbohydrates Increase the Anesthetic Risk?

Abstract

Adopting the multidisciplinary preoperative measures of the ACERTO project was not associated with any preoperative fasting-associated complications. Dextrinomaltose is a useful and safe nutritional supplement for the patient.

Changing Paradigms in Preoperative Fasting: Results of a Joint Effort in Pediatric Surgery

“…Studies in adults found that the use of drinks containing carbohydrates in the preoperative period determines greater satisfaction, less irritability, lower incidence of vomiting, better gastric emptying and especially smaller organic response to surgical stress 16 . In children it has also been observed that the use of carbohydrate drinks before the surgical procedure is safe and is associated with lower insulin resistance indexes in the postoperative period 14 .…”

Reduced fasting time improves comfort and satisfaction of elderly patients undergoing anesthesia for hip fracture

“…However, recent data indicate that a liberal fasting scheme does not increase the risk in these patients. 4,5 A carbohydrate-rich drink (CHO) significantly reduces preoperative discomfort without affecting gastric contents. 6 Decreased fasting time was related to a lower incidence of nausea and vomiting in patients undergoing laparoscopic cholecystectomy.…”

A diminuição do tempo de jejum melhora o conforto e satisfação com anestesia em pacientes idosos com fratura de quadril

“…No entanto, dados recentes indicam que um regime liberal de jejum, não aumenta o risco para esses pacientes. 4,5 Bebida rica em carboidratos (CHO) reduz significativamente o desconforto pré-operatório, sem afetar o conteúdo gástrico. 6 A diminuição do tempo de jejum cursou com menor incidência de náuseas e vômitos, em pacientes submetidos à colecistectomia laparoscópica.…”