Jejum pré-operatório de 8 horas ou de 2 horas: o que revela a evidência?

Detalhes bibliográficos
Autor(a) principal: Aguilar-Nascimento,José Eduardo de
Data de Publicação: 2009
Outros Autores: Perrone,Francine, Assunção Prado,Leicia Íris de
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.
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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
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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
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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)
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