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 .
A liberal preoperative fasting regimen improves patient comfort and satisfaction with anesthesia care in day-stay minor surgery.
BACKGROUND The aim of this study was to evaluate whether a single preoperative limited oral intake of a carbohydrate drink could improve perioperative patient comfort and satisfaction with anesthesia care in elective day-stay ophthalmologic surgery . METHODS A single-center , prospect i ve , r and omized clinical trial was conducted in a university hospital . The study included ASA I-III patients undergoing ophthalmologic surgery . Patients undergoing both general anesthesia and local anesthesia were included in the study . The control group fasted in accordance to nil per os after midnight , while patients in the experimental group received 200 mL of a carbohydrate drink 2 h before the operation . Both groups were allowed to drink and eat until midnight ad libitum . Patient characteristics , subjective perceptions , taste of the drink , and satisfaction with anesthesia care were ascertained using a question naire administered three times : after the anesthesiologist 's visit , before surgery and before discharge from the ward to assess patient comfort . An analysis of variance and the Mann-Whitney U-test were used for statistical analysis . RESULTS A total of 123 patients were included and 109 patients were r and omly assigned to one of two preoperative fasting regimens . Patients drinking 200 mL 2 h before surgery were not as hungry ( P<0.05 ) , not as thirsty preoperatively ( P<0.001 ) and not as thirsty after surgery ( P<0.05 ) , result ing in increased postoperative satisfaction with anesthesia care ( P<0.05 ) . CONCLUSION St and ardized limited oral preoperative fluid intake increases patient comfort and satisfaction with anesthesia care and should be a part of modern day-stay ophthalmologic 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 .