Preoperative Fasting of 2 Hours Minimizes Insulin Resistance and Organic Response to Trauma After Video‐Cholecystectomy: A Randomized, Controlled, Clinical Trial

Faria, Marcelo Sepulveda Magalhães; Aguilar-Nascimento, José Eduardo de; Pimenta, Osvânio S.; Alvarenga, Luis C.; Dock-Nascimento, Diana Borges; Slhessarenko, Natasha

doi:10.1007/s00268-009-0010-x

Cited by 113 publications

(115 citation statements)

References 39 publications

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“…4,[11][12][13] Gjöf kolvetnaríkra drykkja er því víða í nágrannalöndum okkar orðin hluti af staðlaðri meðferð sjúklinga fyrir aðgerð enda er til daemis maelt með slíku verklagi í leiðbeiningum The European Society for Clinical Nutrition and Metabolism (ESPEN).…”

Section: áGripunclassified

Fasta á undan skurðaðgerð: Leiðbeiningar til sjúklinga og lengd föstu – framskyggn könnun

Ingadóttir¹,

Ólafsdóttir²,

Sveinsdóttir³

et al. 2016

LBL

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Section: áGripunclassified

Fasta á undan skurðaðgerð: Leiðbeiningar til sjúklinga og lengd föstu – framskyggn könnun

Ingadóttir¹,

Ólafsdóttir²,

Sveinsdóttir³

et al. 2016

LBL

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“…3,15 Resistensi insulin pascaoperasi dapat terjadi segera setelah pembedahan dan dapat berlangsung hingga beberapa minggu, 15 hal tersebut dapat menurunkan sistem imun sehingga memperlambat proses penyembuhan luka yang akhirnya meningkatkan mortalitas dx.doi.org/10.15851/jap.v4n2.822 perioperatif. 16 Kejadian mual serta muntah pascaoperasi juga meningkat pada pasien dengan puasa preoperatif yang berlebih. 4,13 Kemungkinan penyebab puasa yang terlalu lama di Rumah Sakit Dr. Hasan Sadikin adalah pasien dipuasakan mulai tengah malam hari atau sejak makan malam terakhir, tidak ada panduan puasa preoperatif dan tidak diberikan makan sebelum pasien memulai puasa.…”

Section: 2unclassified

Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung

Hartanto¹,

Suwarman²,

Sitanggang³

2016

jap

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AbstrakPuasa preoperatif merupakan keharusan sebelum dilakukan tindakan anestesi. Alasan utamanya adalah untuk mengurangi volume lambung, tingkat keasaman lambung, dan mengurangi risiko aspirasi paru. Namun, puasa preoperatif sering kali lebih lama daripada yang direkomendasikan karena berbagai sebab. Tujuan penelitian ini mengetahui durasi puasa preoperatif pada pasien operasi elektif dan hubungan antara durasi puasa preoperatif dan kadar gula darah sebelum induksi pasien operasi elektif di Rumah Sakit Dr. Hasan Sadikin Bandung. Penelitian observasional dilakukan selama 1-31 Juni 2014 dengan melakukan wawancara pasien sebelum induksi anestesi dan pengukuran kadar gula darah menggunakan glukometer. Analisis korelasi menggunakan Uji Mann-Whitney. Hasil penelitian pada 371 pasien didapatkan lama puasa dari makanan padat, durasi minimum adalah 4 jam, maksimum 20,5 jam, dan rata-rata 10,42 jam. Pada puasa dari minuman, durasi puasa minimum adalah 2 jam, maksimum 18 jam dengan rata-rata 8,06 jam. Terdapat 8 pasien dengan kadar gula darah kurang dari 70 mg/dL dengan rentang kadar gula darah 59-70 mg/dL dan rentang durasi puasa 6-18 jam. Tiga di antaranya orang lanjut usia di atas 60 tahun. Sebanyak 253 pasien berpuasa makanan padat >8 jam dan 357 pasien berpuasa minuman >2 jam. Simpulan, tidak terdapat hubungan antara durasi puasa dan kadar gula darah sebelum induksi.Kata kunci: Durasi puasa preoperatif, kadar gula darah, operasi elektif Correlation between Preoperative Fasting Duration and Blood Glucose Level before Induction in Elective Surgery Patients in Dr. Hasan Sadikin General Hospital Bandung AbstractPreoperative fasting is a requisite before anesthesia. The main reason for preoperative fasting is to reduce gastric volume and acidity and, thus, decrease the risk of pulmonary aspiration. However, preoperative fasting is usually prolonged beyond the recommended time for various reasons. Despite the many adverse effects of prolonged fasting, patients sometimes fast for a prolonged time when the surgery is delayed for different reasons. The aim of this study was to assess the duration of preoperative fasting for elective surgery and its correlation with blood glucose after preoperative fasting in Dr. Hasan Sadikin General Hospital Bandung. An observational study was conducted from 1-31 June 2014. Patients were interviewed before induction, and blood glucose level was measured using a glucometer. A correlation analysis was performed using Mann-whitney test. All 371 elective surgery patients admitted during the study period were included. The minimum, maximum, and mean fasting hours for food were 4, 20.5, and 10.42, respectively. The minimum, maximum, and mean fasting hours for fluid were 2, 18, and 8.06, respectively. Only 8 patients had blood a glucose level below 70 mg/dL with blood glucose levels range from 59 to 70 mg/dL and duration of fasting range from 6 to 18 hours. Three of elderly patients, who was above 60 years old, participated in this study. There were 253 patients (68.2%) fasted from solid food more ...

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“…Because hyperglycemia is facilitated by preoperative fasting, clinicians in Europe have undertaken trials of preoperative oral or intravenous administration of a carbohydrate to prevent or improve postoperative hyperglycemia [6][7][8][9][10] . Postoperative counter-regulatory hormone administration has also been tried in the past ; however, reports of how preoperative carbohydrate-amino acid administration affects the postoperative counter-regulatory hormone are rare.…”

Section: Department Of Surgery Division Of General and Gastroenterolmentioning

confidence: 99%

Effect of Preoperative Carbohydrate and Amino Acid Infusion on Postoperative Counter-Regulatory Hormone in Patients Undergoing Elective Thoracoscopic Esophagectomy

Motegi

Murakami

Otsuka

et al. 2016

Showa Univ J Med Sci

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: Compared with the conventional open surgery, thoracoscopic esophagectomy results in decreased thorax destruction, fewer postoperative complications, and shorter hospitalisation. However, preoperative fasting causes hyperglycemia, prompting attempts to improve postoperative hyperglycemia by preoperatively administering carbohydrate orally or intravenously. Herein, we examined the effect of preoperative carbohydrate and amino acid infusion on counter-regulatory hormone levels in patients undergoing elective thoracoscopic esophagectomy. The glucose and amino acid GA group n 12 were infused with a low concentration of sugar accelerant and amino acid, and the control GAF group n 12 was infused with a sugar-free extracellular uid, until entering the operating room. We evaluated plasma catecholamine 3 fractions, cortisol, and glucose, as well as 3-methylhistidine in the urine. Adrenaline levels were signi cantly higher in the GAF group 263.0 201.8 µIU / ml than in the GA group 114.7 127.0 µIU / ml at the end of the surgery P 0.042 , and at postoperative day POD 1 200.8 137.4 vs. 80.5 64.3 µIU / ml ; P 0.013 . The noradrenalin level was also significantly higher in the GAF group 517.9 523.6 µIU / ml than in the GA group 254.3 205.4 µIU / ml at POD1 P 0.028 , as was the cortisol level 20.0 10.6 µIU / ml vs. 10.2 8.0 µIU / ml ; P 0.015 . No signi cant differences were observed between the two groups in levels of blood glucose or 3-methylhistidine in the urine. Preoperative glucose-amino acid administration improved catabolism suppression in this study.

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Preoperative Fasting of 2 Hours Minimizes Insulin Resistance and Organic Response to Trauma After Video‐Cholecystectomy: A Randomized, Controlled, Clinical Trial

Abstract: Abbreviation of the period of preoperative fasting and administration of a carbohydrate beverage diminishes insulin resistance and the organic response to trauma.

Cited by 113 publications

References 39 publications

Fasta á undan skurðaðgerð: Leiðbeiningar til sjúklinga og lengd föstu – framskyggn könnun

Fasta á undan skurðaðgerð: Leiðbeiningar til sjúklinga og lengd föstu – framskyggn könnun

Hubungan antara Durasi Puasa Preoperatif dan Kadar Gula Darah Sebelum Induksi pada Pasien Operasi Elektif di Rumah Sakit Dr. Hasan Sadikin Bandung

Effect of Preoperative Carbohydrate and Amino Acid Infusion on Postoperative Counter-Regulatory Hormone in Patients Undergoing Elective Thoracoscopic Esophagectomy

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