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 .
Fast Track Postoperative Management after Elective Colorectal Surgery: A Controlled Trail
In the attempt to reduce postoperative complications and costs and improve outcomes , the concept of fast track surgery has been proposed . Improvements in anesthesia techniques and a better underst and ing of the pathophysiologic events occurring during and after surgery have made it possible . A group of patients undergoing colorectal resections with a fast track approach were investigated ; specifically , the effects on postoperative morbidity , resumption of intestinal function , and duration of hospitalization .  Fifty patients were managed according to a protocol , which included epidural analgesia , early ambulation , and oral feeding ( fast track group ) ;  they were compared with 50 patients managed with a different protocol : no epidural analgesia , early ambulation , and early oral diet ( control group ) . Primary outcome end-points reported include morbidity , time to passage of flatus and stool , and length of hospital stay . Fourteen complications occurred in the fast track group and 13 in the control group ( P = not significant ( NS ) ) . Resumption of intestinal function occurred after 3 days , and length of hospital stay was 5 days in the fast track group compared with 4 and 7 days respectively in control patients ( P = NS , P < 0.01 ) . Patients undergoing elective colorectal resections can be managed safely with fast track protocol s reducing hospital stay
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 .