Jejum inferior a oito horas em cirurgias de urgência e emergência versus complicações

Abstract

intraoperative and postoperative complications were associated with the clinical conditions of the patients and not with the fasting time.

Evaluation of the effects of prolonged furniture prior to and after operating / Avaliação dos efeitos do jejum prolongado no pré e pós-operatórios

“…Prolonged fasting causes great discomfort to the patient, causing anxiety and agitation before surgery, resulting in metabolic changes such as insulin resistance resulting in hyperglycemia and also a decrease in insulin in peripheral tissues which makes glucose uptake difficult, consequently affecting recovery, increasing the length of stay. 5 Therefore, it is important that the entire nursing team is prepared to ensure the safety, comfort and well-being of this patient, ensuring quality health care.…”

“…Thirst is often reported by patients, causing great discomfort, irritability and anxiety, but it is a symptom little valued by the teams, with few records. 10 It has become more and more noticeable that patients are fasting longer and longer, with different time than what was prescribed in the pre-and postoperative periods, which ends up being overlooked by professionals [2][3][4][5][6][7][8][9][10][11] , exposing the need for medical professionals to readjust the new policies and protocols established worldwide.…”

Tempo de jejum e alterações metabólicas em cirurgias eletivas: revisão integrativa

“…Currently, new multi-professional and institutional protocols and guidelines have indicated the reduction of the traditional fasting practice as a strategy to accelerate postoperative recovery, based on the principles of the evidence-based practice (2) . In (2) .…”

“…However, the implementation of protocols aimed at this behavior still faces resistance in the assistance practice (2) .…”

Tempo de jejum pré-operatório em pacientes cirúrgicos de um hospital de médio porte no Distrito Federal

“…Enfermeira Coordenadora do Programa de Residência de Enfermagem em Centro Cirúrgico ESCS/FEPECS/SES/DF 6 Contudo, a prática gera desconforto e ansiedade no paciente e também provoca alterações metabólicas, como a resistência insulínica, que ocorre nos primeiros dias do pós-operatório, pela diminuição da ingestão de carboidratos. O paciente pode adquirir infecções, ter a cicatrização retardada, bem como comprometer o próprio resultado cirúrgico 2 .…”