this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .
Benefits of maltodextrin intake 2 hours before cholecystectomy by laparotomy in respiratory function and functional capacity: a prospective randomized clinical trial
ABSTRACT Objective : To evaluate the change in respiratory function and functional capacity according to the type of preoperative fasting . Methods : R and omized prospect i ve 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 h and grip strength , and non-dominant h and grip 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 h and grip strength ( 24.9±6.8 versus 18.4±7.7 ; p=0.001 ) and non-dominant h and grip 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 h and grip 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 h and grip strength
this guideline reflects the recommendations of the group of specialists of the Brazilian College of Surgeons , the Brazilian Society of Parenteral and Enteral Nutrition and the ACERTO Project for nutritional interventions in the perioperative period of Elective General Surgery .
The prescription of these recommendations can accelerate the postoperative recovery of patients su bmi tted to elective general surgery , with decrease in morbidity , length of stay and rehospitalization , and consequently , of costs
OBJECTIVE to present recommendations based on the ACERTO Project ( Acceleration of Total Post-Operative Recovery ) and supported by evidence related to perioperative nutritional care in General Surgery elective procedures .