PRE-OPERATIVE FASTING: WHY ABBREVIATE?

Detalhes bibliográficos
Autor(a) principal: CAMPOS,Samara Bomfim Gomes
Data de Publicação: 2018
Outros Autores: BARROS-NETO,João Araújo, GUEDES,Glaucevane da Silva, MOURA,Fabiana Andréa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200508
Resumo: ABSTRACT Introduction : Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence. Aim : To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations. Method : Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected. Results : The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine. Conclusion : The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.
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spelling PRE-OPERATIVE FASTING: WHY ABBREVIATE?FastingCarbohydratesPreoperative careABSTRACT Introduction : Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence. Aim : To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations. Method : Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected. Results : The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine. Conclusion : The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.Colégio Brasileiro de Cirurgia Digestiva2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202018000200508ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.31 n.2 2018reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)instname:Colégio Brasileiro de Cirurgia Digestiva (CBCD)instacron:CBCD10.1590/0102-672020180001e1377info:eu-repo/semantics/openAccessCAMPOS,Samara Bomfim GomesBARROS-NETO,João AraújoGUEDES,Glaucevane da SilvaMOURA,Fabiana Andréaeng2018-06-27T00:00:00Zoai:scielo:S0102-67202018000200508Revistahttp://abarriguda.org.br/revista/index.php/revistaabarrigudaarepb/indexONGhttps://old.scielo.br/oai/scielo-oai.php||revistaabcd@gmail.com2317-63262317-6326opendoar:2018-06-27T00:00ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) - Colégio Brasileiro de Cirurgia Digestiva (CBCD)false
dc.title.none.fl_str_mv PRE-OPERATIVE FASTING: WHY ABBREVIATE?
title PRE-OPERATIVE FASTING: WHY ABBREVIATE?
spellingShingle PRE-OPERATIVE FASTING: WHY ABBREVIATE?
CAMPOS,Samara Bomfim Gomes
Fasting
Carbohydrates
Preoperative care
title_short PRE-OPERATIVE FASTING: WHY ABBREVIATE?
title_full PRE-OPERATIVE FASTING: WHY ABBREVIATE?
title_fullStr PRE-OPERATIVE FASTING: WHY ABBREVIATE?
title_full_unstemmed PRE-OPERATIVE FASTING: WHY ABBREVIATE?
title_sort PRE-OPERATIVE FASTING: WHY ABBREVIATE?
author CAMPOS,Samara Bomfim Gomes
author_facet CAMPOS,Samara Bomfim Gomes
BARROS-NETO,João Araújo
GUEDES,Glaucevane da Silva
MOURA,Fabiana Andréa
author_role author
author2 BARROS-NETO,João Araújo
GUEDES,Glaucevane da Silva
MOURA,Fabiana Andréa
author2_role author
author
author
dc.contributor.author.fl_str_mv CAMPOS,Samara Bomfim Gomes
BARROS-NETO,João Araújo
GUEDES,Glaucevane da Silva
MOURA,Fabiana Andréa
dc.subject.por.fl_str_mv Fasting
Carbohydrates
Preoperative care
topic Fasting
Carbohydrates
Preoperative care
description ABSTRACT Introduction : Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence. Aim : To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations. Method : Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected. Results : The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine. Conclusion : The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-01
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/0102-672020180001e1377
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dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgia Digestiva
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgia Digestiva
dc.source.none.fl_str_mv ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo) v.31 n.2 2018
reponame:ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)
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