Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência?
Autor(a) principal: | |
---|---|
Data de Publicação: | 2009 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912009000400014 |
Resumo: | Insulin resistance is a transitory phenomenon of the metabolic response to trauma. In uncomplicated operations it lasts for 2-4 weeks postoperatively, and is directly related to the magnitude of the injury. The fasting status caused by conventional fasting protocols aggravates this resistance and may induce hyperglycemia. Conventional preoperative fasting time may aggravate this resistance and increment the elevation of glycemia especially because it is frequently longer than the expected 6-8h and may reach 10-16 hs. Additionally, overnight fasting may cause variable degrees of dehydration depending on the extension of the fasting period. Recently, various societies of anesthesia and nutrition have changed their guidelines to propose a reduction of preoperative fasting to 2h with clear fluids containing carbohydrates. These new protocols (ACERTO, ERAS) are based on the safety of this routine as consistently demonstrated by various randomized trials and a meta-analysis. |
id |
CBC-1_ea4caadb2438190f6e88427cf95a8433 |
---|---|
oai_identifier_str |
oai:scielo:S0100-69912009000400014 |
network_acronym_str |
CBC-1 |
network_name_str |
Revista do Colégio Brasileiro de Cirurgiões |
repository_id_str |
|
spelling |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência?FastingPreoperative careInsulin resistanceGastric emptyingGlucoseInsulin resistance is a transitory phenomenon of the metabolic response to trauma. In uncomplicated operations it lasts for 2-4 weeks postoperatively, and is directly related to the magnitude of the injury. The fasting status caused by conventional fasting protocols aggravates this resistance and may induce hyperglycemia. Conventional preoperative fasting time may aggravate this resistance and increment the elevation of glycemia especially because it is frequently longer than the expected 6-8h and may reach 10-16 hs. Additionally, overnight fasting may cause variable degrees of dehydration depending on the extension of the fasting period. Recently, various societies of anesthesia and nutrition have changed their guidelines to propose a reduction of preoperative fasting to 2h with clear fluids containing carbohydrates. These new protocols (ACERTO, ERAS) are based on the safety of this routine as consistently demonstrated by various randomized trials and a meta-analysis.Colégio Brasileiro de Cirurgiões2009-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912009000400014Revista do Colégio Brasileiro de Cirurgiões v.36 n.4 2009reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/S0100-69912009000400014info:eu-repo/semantics/openAccessAguilar-Nascimento,José Eduardo dePerrone,FrancineAssunção Prado,Leicia Íris depor2009-11-09T00:00:00Zoai:scielo:S0100-69912009000400014Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2009-11-09T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
title |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
spellingShingle |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? Aguilar-Nascimento,José Eduardo de Fasting Preoperative care Insulin resistance Gastric emptying Glucose |
title_short |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
title_full |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
title_fullStr |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
title_full_unstemmed |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
title_sort |
Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência? |
author |
Aguilar-Nascimento,José Eduardo de |
author_facet |
Aguilar-Nascimento,José Eduardo de Perrone,Francine Assunção Prado,Leicia Íris de |
author_role |
author |
author2 |
Perrone,Francine Assunção Prado,Leicia Íris de |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Aguilar-Nascimento,José Eduardo de Perrone,Francine Assunção Prado,Leicia Íris de |
dc.subject.por.fl_str_mv |
Fasting Preoperative care Insulin resistance Gastric emptying Glucose |
topic |
Fasting Preoperative care Insulin resistance Gastric emptying Glucose |
description |
Insulin resistance is a transitory phenomenon of the metabolic response to trauma. In uncomplicated operations it lasts for 2-4 weeks postoperatively, and is directly related to the magnitude of the injury. The fasting status caused by conventional fasting protocols aggravates this resistance and may induce hyperglycemia. Conventional preoperative fasting time may aggravate this resistance and increment the elevation of glycemia especially because it is frequently longer than the expected 6-8h and may reach 10-16 hs. Additionally, overnight fasting may cause variable degrees of dehydration depending on the extension of the fasting period. Recently, various societies of anesthesia and nutrition have changed their guidelines to propose a reduction of preoperative fasting to 2h with clear fluids containing carbohydrates. These new protocols (ACERTO, ERAS) are based on the safety of this routine as consistently demonstrated by various randomized trials and a meta-analysis. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912009000400014 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912009000400014 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
10.1590/S0100-69912009000400014 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.36 n.4 2009 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
_version_ |
1754209210921385984 |