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 .
Preoperative Nutrition and Postoperative Discomfort in an ERAS Setting: A Randomized Study in Gastric Bypass Surgery
Background Many patients experience postoperative nausea and vomiting ( PONV ) . Preoperative treatment with carbohydrate solutions seems to improve the course after different types of surgery . This study was undertaken to investigate the potential value of different models for preoperative hydration/nutrition , in addition to our ERAS ( enhanced recovery after surgery ) protocol . Methods Ninety non-diabetic women planned for elective laparoscopic gastric bypass and aged 18–65 years were included . All were on preoperative low-calorie diet ( LCD ) . They were r and omized into three arms , either a carbohydrate-rich drink , a protein-enriched drink , or tap water and instructed to drink 800 and 200 mL 16 and 2 h , respectively , prior to operation . Risk factors for PONV were recorded preoperatively . All patients were operated before lunch and received 1500–2000 mL of Ringer-Acetate solution during the 24–30-h postoperative hospital time . Four variables ( nausea , pain , tiredness , and headache ) were registered on 100-mm visual analog scales six times over 22 h. The need for additional medication was registered . Results Out of 90 patients , 73 complete data sets were obtained . Nausea peaked at 7 p.m. but with no statistically significant differences between groups for any of the variables . Pain peaked the first 2 h postoperatively , remained longer , and had not returned to baseline values at 6 a.m. the morning after surgery but with no difference between groups . Conclusions Inside our ERAS protocol , additional preoperative carbohydrate- or protein-enriched fluid treatment did not further reduce immediate patient discomfort in laparoscopic gastric bypass surgery
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 .