Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: A randomized, controlled trial

Yağcı, Gökhan; Can, Mehmet Fatih; Öztürk, Erkan; Dağ, Birgül; Özgürtaş, Taner; Çoşar, Ahmet; Tufan, Turgut

doi:10.1016/j.nut.2007.11.003

Cited by 89 publications

(78 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Such an approach has been proven to have no adverse effect on gastric volume and pH preoperatively compared with water or fasting from midnight. [8,12] It has the positive effect of decreasing insulin resistance [12,13] and increasing recovery [14] of patients postoperatively. As most operations start after 07h00, this drink of water or apple juice falls within the international fasting guideline of 2 hours for clear fluids.…”

Section: Resultsmentioning

confidence: 99%

Preoperative fasting times: Prescribed and actual fasting times at Universitas Hospital Annex, Bloemfontein, South Africa

et al. 2017

View full text Add to dashboard Cite

Background. Guidelines recommend a preoperative fasting period of 6 hours for solid food and 2 hours for clear fluids. Because of fixed meal times and imprecise operation starting times, patients often fast for an extended period of time.Objective. To investigate the prescribed preoperative fasting times, and the actual duration of fasting, compared with the internationally accepted fasting times for solid food and clear fluids.Methods. Patients (N=105) aged 14 -60 years, who were scheduled for elective surgery in the morning session (list starting time 07h00), were included in this prospective study. On arrival in theatre, all patients were asked when they last ate and drank. Anaesthetic records were used to determine the prescribed fasting times and operation starting times. Results. For solids, patients were most frequently prescribed to start fasting from 22h00 to 00h00 (53.3% and 39.1%, respectively). No patient fasted <8 hours. The median duration of fasting was 14 hours and 45 minutes (range 9 hours and 45 minutes -19 hours and 5 minutes). For fluids, patients were most frequently prescribed to start fasting from 05h00 (46.7%), 00h00 (27.6%) and 22h00 (7.6%). In practice, no patient ingested fluids after 22h30 or <9 hours preoperatively. The median fasting time for oral fluids was 13 hours and 25 minutes (range 9 hours and 37 minutes -19 hours and 5 minutes). Conclusion. Most patients started fasting too early preoperatively, consequently withholding food and oral fluids for longer than recommended. An increased awareness regarding complications of unnecessarily long fasting times, and interventions to correct this problem, is required.S Afr Med J 2017;107(10):910-914.

show abstract

Section: Resultsmentioning

confidence: 99%

Preoperative fasting times: Prescribed and actual fasting times at Universitas Hospital Annex, Bloemfontein, South Africa

et al. 2017

View full text Add to dashboard Cite

show abstract

“…150 Clinical studies conducted in small patient populations reported better outcomes with preoperative nutrition 112,130,[151][152][153][154] and emphasize that avoidance of fasting makes patients less susceptible to complications and may decrease hospital length of stay. 27,[154][155][156] In contrast, the results of a larger randomized controlled trial showed no significant benefit. 157 A recent meta-analysis, however, suggests that preoperative administration of oral carbohydrates accelerates recovery after major abdominal surgery.…”

Section: Assessment Of Catabolism Before Surgerymentioning

confidence: 90%

Perioperative catabolism

Schricker

Lattermann

2015

Can J Anesth/J Can Anesth

View full text Add to dashboard Cite

“…This allows for better use of any nutritional care post‐operatively, with less risk of hyperglycaemia and improved retention of protein and preservation of lean body mass 40. Studies conducted in relatively small patient populations suggested better outcomes with pre‐operative complex carbohydrates given orally up to 2 h before anaesthesia and surgery,41, 42 However, a meta‐analysis43 and a recent Cochrane analysis44 of all available data from randomised controlled trials suggest that in major abdominal surgery there is clinical impact as evidenced by faster recovery43, 44 (reduced length of stay by 1–1.5 days43). However, for minor surgery the benefit is mainly in patient well‐being,41 and in other types of surgeries the data remain sparse 44.…”

Section: Metabolic Homoeostasismentioning

confidence: 99%

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations

Scott

Baldini

Fearon

et al. 2015

Acta Anaesthesiol Scand

324

182

View full text Add to dashboard Cite

BackgroundThe present article has been written to convey concepts of anaesthetic care within the context of an Enhanced Recovery After Surgery (ERAS) programme, thus aligning the practice of anaesthesia with the care delivered by the surgical team before, during and after surgery.MethodsThe physiological principles supporting the implementation of the ERAS programmes in patients undergoing major abdominal procedures are reviewed using an updated literature search and discussed by a multidisciplinary group composed of anaesthesiologists and surgeons with the aim to improve perioperative care.ResultsThe pathophysiology of some key perioperative elements disturbing the homoeostatic mechanisms such as insulin resistance, ileus and pain is here discussed.ConclusionsEvidence‐based strategies aimed at controlling the disruption of homoeostasis need to be evaluated in the context of ERAS programmes. Anaesthesiologists could, therefore, play a crucial role in facilitating the recovery process.

show abstract

Effects of preoperative carbohydrate loading on glucose metabolism and gastric contents in patients undergoing moderate surgery: A randomized, controlled trial

Cited by 89 publications

References 16 publications

Preoperative fasting times: Prescribed and actual fasting times at Universitas Hospital Annex, Bloemfontein, South Africa

Preoperative fasting times: Prescribed and actual fasting times at Universitas Hospital Annex, Bloemfontein, South Africa

Perioperative catabolism

Enhanced Recovery After Surgery (ERAS) for gastrointestinal surgery, part 1: pathophysiological considerations

Contact Info

Product

Resources

About