Introduction: Preoperative fasting can contribute to malnutrition and postoperative complications, since it causes an increase in the metabolic response to surgical trauma in patients, being hyperglycemia its main characteristic. The present study aimed to investigate the effect of abbreviation of preoperative fasting on blood glucose and postoperative well-being of patients undergoing cardiovascular surgery. Methods: Clinical, randomised, placebo-control and blind study enrolling 8 patients undergoing cardiovascular surgery. Participants were randomly allocated to one of two groups: treatment (n=4) and control (n=4). The participants in the treatment group received water with tasteless maltodextrin (12.5 g/100 mL) and participants in the control group received only water, 8 hours before surgery (400 mL) and from 2 to 3 hours before surgery (200 mL). Before surgery, demographic and clinical data and fasting blood glucose were assessed. Blood glucose was measured during 24 hours after surgery and well-being of the participants was also investigated on the post-operative. Results: Participants in both groups had two or more risk factors for the development of cardiovascular diseases. Participants in the control group had higher postoperative blood glucose values from 6 hours after surgery and all of them needed insulin correction. Conversely, only one participant in the treatment group needed this correction. Considering the assessment of well-being, the participants in the treatment group showed more positive responses related to the absence of unwanted symptoms resulting from the surgical intervention. Conclusion: Shortened fasting resulted in better glycemic control and comfort for the participants. Implementation of this protocol is safe and had positive outcomes. Even so, further studies are required to support this practice, as introduce an abbreviated fasting protocol is challenging in situations where the prolonged fasting is the established cultural practice.

Verificar se a implementação da assistência interprofissional durante a reabilitação cardiovascular contribuiu para a redução do tempo de internação dos pacientes submetidos à cirurgia cardíaca. Estudo observacional, transversal, a partir de consulta em prontuários em um hospital de referência no centro oeste brasileiro, durante o mês de janeiro de 2020. Os dados foram armazenados no programa Epi Info 7.2, por meio de dupla digitação. As análises foram realizadas a partir da estatística descritiva, obtendo frequência simples e percentual para as variáveis nominais, e mínima, máxima e média para as variáveis contínuas. Foram acessados 42 prontuários de pacientes submetidos à cirurgia cardiovascular, previamente à implementação da assistência interprofissional, e 50 prontuários de pacientes submetidos à intervenção cirúrgica em questão, após a implementação da assistência interprofissional. Em síntese, houve impacto positivo da implementação da assistência interprofissional para a redução do tempo de internação dos pacientes submetidos à cirúrgica cardiovascular.