Elective surgery and oral carbohydrate loading

Pasechnik, I. N.; Smeshnoy, I.A.; Тимашков, Д. А.; Онегин, М. А.; Cheparnov, A.V.; Скобелев, Е. И.; Маркелов, К. М.

doi:10.17116/hirurgia202006182

Cited by 4 publications

(2 citation statements)

References 15 publications

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“…The results showed that preoperative carbohydrate load did not affect perioperative blood glucose, reduced intraoperative infusion volume, reduced organ dysfunction and complications, and reduced postoperative nausea and vomiting, Ensure more stable intraoperative hemodynamics and more comfortable subjective sensation in the early postoperative period. [15] In summary, optimizing perioperative intestinal preparation and dietary management under the ERAS concept can improve the recovery of patients after laparoscopic total hysterectomy and reduce the incidence of poor postoperative incision healing. ERAS is a scientific, reasonable, and safe perioperative management plan that is worthy of clinical promotion and application.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Discussion on the influence of optimizing the perioperative management on the recovery after laparoscopic hysterectomy

Bai,

Wu,

et al. 2023

Medicine

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The concept of enhanced recovery after surgery (ERAS) was first proposed by Professor Kehlet from the University of Copenhagen in Denmark in 1997. The aim is to optimize multiple perioperative management measures, promote rapid postoperative recovery, shorten hospital stay, and reduce surgical related costs, this article explores the effect of optimizing perioperative bowel preparation and diet management under the strategy of ERAS on the postoperative recovery of patients undergoing laparoscopic hysterectomy for benign gynecological diseases. We selected 90 patients who underwent laparoscopic total hysterectomy for benign gynecological diseases at Hebei General Hospital from June 2018 to June 2019, these patients are between the ages of 40 and 65. Divide these 90 patients into an experimental group and a control group using a random number table method (n = 45). The experimental group of patients applied the concept of accelerated rehabilitation surgery for perioperative intestinal preparation and dietary management. The control group patients received routine perioperative management. Compare the first postoperative exhaust time, first postoperative defecation time, incision healing status 7 days after surgery, and pelvic infection status 1 month after surgery between 2 groups of patients. The first postoperative exhaust time and first postoperative bowel movement time of the experimental group patients were shorter than those of the control group (P < .05), and the difference was statistically significant; The incidence of poor incision healing 7 days after surgery was lower than that of the control group (P < .05), and the difference was statistically significant; There was no statistically significant difference in the incidence of postoperative pelvic infection between the experimental group and the control group (P > .05). Perioperative intestinal preparation and dietary management under the concept of accelerated rehabilitation surgery can promote postoperative recovery of patients undergoing laparoscopic total hysterectomy, promote incision healing, and have good safety.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Discussion on the influence of optimizing the perioperative management on the recovery after laparoscopic hysterectomy

Bai,

Wu,

et al. 2023

Medicine

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Perioperative infusion therapy

Скобелев

Pasechnik

2021

Clinical nutrition and metabolism

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Perioperative infusion support of surgical patients is the main and non-alternative element of treatment. At the same time, the tactics of infusion therapy continues to be the subject of study. Ideas about the optimal quantitative and qualitative composition of the fluid transfused to patients are being revised as ideas about the pathogenesis of critical conditions evolve. The basis of pathogenetic analysis of compensatory hemodynamic capabilities, as a point of application of infusion treatment, previously consisted mainly of invasive monitoring techniques, replaced in recent years by the control of routine parameters with proven high correlation with invasive ones. In current studies devoted to the problems of infusion correction of hemodynamic abnormalities, the most discussed issues are the applicability of isotonic and balanced polyionic crystalloids, less often colloidal solutions in various clinical situations, and the results of such studies do not always allow to unambiguously determine the choice of infusion media, and sometimes simply incomparable. Some researchers advocate the use of isotonic crystalloids, some works prove the best effectiveness of balanced salt solutions. With the volumes of treatment corresponding to the perioperative period, in most studies there are no differences in the effectiveness of the main composite groups of crystalloids at all. We see the reason for this in the peculiarities of randomization methods, when statistical limitations do not allow us to avoid discrete data analysis: their comparative grouping occurs according to the principle of selecting a target parameter, and all the others are classified as auxiliary or secondary. It seems to us that the involvement of arrays of data obtained in real clinical practice as a result of a combination of local theoretical and empirical ideas about corrective treatment regimens correlated with their effectiveness could smooth out the inconsistency of the results of such studies, especially since clinicians have a sample with a volemic load at their disposal, allowing them to predict the hemodynamic reaction of the patient's body to infusion and a set of routine parameters for more fine-tuning of therapy.

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Stress hyperglycemia in non-diabetic patients

Manuylova,

Pavlicova,

Potapenko

et al. 2024

Transl. med. (Print)

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Stress hyperglycemia is a physiological defense mechanism that manifests itself in an increase in glycemia in acute distress. Despite the fact that the presence of this phenomenon and its adverse effects on the body are not in doubt, there are still no algorithms for intraoperative management of patients without a history of diabetes mellitus: mandatory control of glycemia, frequency of control, intervention points for glucose, optimal insulin therapy regimen, methods for leveling glucose levels. This review discusses the definitions of stress hypoglycemia, pathogenesis, its effect on the human body, cut-off for glucose, predictors of hyperglycemia and possible ways to prevent adverse effects.

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Elective surgery and oral carbohydrate loading

Cited by 4 publications

References 15 publications

Discussion on the influence of optimizing the perioperative management on the recovery after laparoscopic hysterectomy

Discussion on the influence of optimizing the perioperative management on the recovery after laparoscopic hysterectomy

Perioperative infusion therapy

Stress hyperglycemia in non-diabetic patients

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