[No Title Available]

Aguilar-Nascimento, José Eduardo de; Perrone, Francine; Prado, Leicia Íris de Assunção

doi:10.1590/s0100-69912009000400014

Cited by 12 publications

(8 citation statements)

References 21 publications

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“…Aguilar Nascimento et al . (2008) 13 compared the clinical outcomes before and after implementation of the ACERTO protocol and found mean a fasting time of 16 h in preoperative before to deploy of protocol 3 in 308 patients included in the survey. Cestonaro et al (2014) 8 found 16.5 h of mean fasting time to solids and 15.75 h to liquids in a university public hospital in the South of Brazil.…”

Section: Discussionmentioning

confidence: 99%

“…Other care routine without scientific and safe evidences is related with digestive anastomoses, in which beliefs that bowel rest ensures adequate healing 12 , 18 . This practice could cause increased of inflammatory mediators, including insulin resistance, negative nitrogen balance, and this way, compromising the healing and increasing the risk of infections 2 , 3 , 7 , 22 , 26 .…”

Section: Discussionmentioning

confidence: 99%

“…The prescription of preoperative fasting of the 8 to 12 h was first published by Mendelson in 1946. This procedure was adopted empirically and it is practiced until lately, even in the era of evidence-based medicine 3 , 24 .…”

Section: Introductionmentioning

confidence: 99%

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Fasting in Elective Surgical Patients: Comparison Among the Time Prescribed, Performed and Recommended on Perioperative Care Protocols

Francisco¹,

Batista²,

Pena

2015

ABCD, arq. bras. cir. dig.

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Background: Prolonged preoperative fasting may impair nutritional status of the patient and their recovery. In contrast, some studies show that fasting abbreviation can improve the response to trauma and decrease the length of hospital stay.Aim: Investigate whether the prescribed perioperative fasting time and practiced by patients is in compliance with current multimodal protocols and identify the main factors associated. Methods: Cross-sectional study with 65 patients undergoing elective surgery of the digestive tract or abdominal wall. We investigated the fasting time in the perioperative period, hunger and thirst reports, physical status, diabetes diagnosis, type of surgery and anesthesia.Results: The patients were between 19 and 87 years, mostly female (73.8%). The most performed procedure was cholecystectomy (47.69%) and general anesthesia the most used (89.23%). The most common approach was to start fasting from midnight for liquids and solids, and most of the patients received grade II (64.6%) to the physical state. The real fasting average time was 16 h (9.5-41.58) was higher than prescribed (11 h, 6.58 -26.75). The patients submitted to surgery in the afternoon were in more fasting time than those who did in the morning (p<0.001). The intensity of hunger and thirst increased in postoperative fasting period (p=0.010 and 0.027). The average period of postoperative fasting was 18.25 h (3.33-91.83) and only 23.07% restarted feeding on the same day. Conclusion: Patients were fasted for prolonged time, higher even than the prescribed time and intensity of the signs of discomfort such as hunger and thirst increased over time. To better recovery and the patient's well-being, it is necessary to establish a preoperative fasting abbreviation protocol.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Fasting in Elective Surgical Patients: Comparison Among the Time Prescribed, Performed and Recommended on Perioperative Care Protocols

Francisco¹,

Batista²,

Pena

2015

ABCD, arq. bras. cir. dig.

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“…The supply of carbohydrates before surgery reduces the organic metabolic effects associated with surgical trauma. ( 19 , 29 , 30 ) It can be inferred that in greater magnitude surgeries, in which the organic response is more intense, this routine can promote a lower metabolic impact and therefore, provide important benefits to the patients.…”

Section: Discussionmentioning

confidence: 99%

Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: a prospective randomized clinical trial

Zani

Aguilar-Nascimento

Nascimento

et al. 2015

Einstein (São Paulo)

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Objective:To evaluate the change in respiratory function and functional capacity according to the type of preoperative fasting.Methods:Randomized prospective clinical trial, with 92 female patients undergoing cholecystectomy by laparotomy with conventional or 2 hours shortened fasting. The variables measured were the peak expiratory flow, forced expiratory volume in the first second, forced vital capacity, dominant handgrip strength, and non-dominant handgrip strength. Evaluations were performed 2 hours before induction of anesthesia and 24 hours after the operation.Results:The two groups were similar in preoperative evaluations regarding demographic and clinical characteristics, as well as for all variables. However, postoperatively the group with shortened fasting had higher values than the group with conventional fasting for lung function tests peak expiratory flow (128.7±62.5 versus 115.7±59.9; p=0.040), forced expiratory volume in the first second (1.5±0.6 versus 1.2±0.5; p=0.040), forced vital capacity (2.3±1.1 versus 1.8±0.9; p=0.021), and for muscle function tests dominant handgrip strength (24.9±6.8 versus 18.4±7.7; p=0.001) and non-dominant handgrip strength (22.9±6.3 versus 17.0±7.8; p=0.0002). In the intragroup evaluation, there was a decrease in preoperative compared with postoperative values, except for dominant handgrip strength (25.2±6.7 versus 24.9±6.8; p=0.692), in the shortened fasting group.Conclusion:Abbreviation of preoperative fasting time with ingestion of maltodextrin solution is beneficial to pulmonary function and preserves dominant handgrip strength.

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“…The prolonged nightly fasting, instituted in order to prevent lung complications associated to vomiting and aspiration of gastric content may be harmful to the patient 4 . The organic answer to this procedure is aggravated with the operative trauma and the tissue damage that follows 3 .…”

Section: Introductionmentioning

confidence: 99%

Fasting abbreviation among patients submitted to oncologic surgery: systematic review

Pinto

Grigoletti

Marcadenti³

2015

ABCD, arq. bras. cir. dig.

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IntroductionThe abbreviation of perioperative fasting among candidates to elective surgery have been associated with shorter hospital stay and decreased postoperative complications.ObjectiveTo conduct a systematic review from randomized controlled trials to detect whether the abbreviation of fasting is beneficial to patients undergoing cancer surgery compared to traditional fasting protocols.MethodA literature search was performed in electronic databases: MEDLINE (PubMed), SciELO, EMBASE and Cochrane, without time restriction. Were used the descriptors: "preoperative fasting", "cancer", "diet restriction" and "perioperative period". Randomized trials were included in adults of both sexes, with diagnosis of cancer. Exclusion criteria were: use of parenteral nutrition and publications in duplicate. All analyzes, selections and data extraction were done blinded manner by independent evaluators.ResultsFour studies were included, with a total of 150 patients, 128 with colorectal cancer and 22 gastric cancer. The articles were published from 2006 to 2013. The main outcome measures were heterogeneous, which impaired the unification of the results by means of meta-analysis. Compared to traditional protocols, patients undergoing fasting abbreviation with the administration of fluids containing carbohydrates had improvements in glycemic parameters (fasting glucose and insulin resistance), inflammatory markers (interleukin 6 and 10) and indicators of malnutrition (grip strength hand and CRP/albumin ratio), and shorter hospital stay. The methodological quality of the reviewed articles, however, suggests that the results should be interpreted with caution.ConclusionsThe abbreviation of perioperative fasting in patients with neoplasm appears to be beneficial.

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[No Title Available]

Cited by 12 publications

References 21 publications

Fasting in Elective Surgical Patients: Comparison Among the Time Prescribed, Performed and Recommended on Perioperative Care Protocols

Fasting in Elective Surgical Patients: Comparison Among the Time Prescribed, Performed and Recommended on Perioperative Care Protocols

Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: a prospective randomized clinical trial

Fasting abbreviation among patients submitted to oncologic surgery: systematic review

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