Preoperative Oral Carbohydrate Loading in Pancreaticoduodenectomy
نویسندگان
چکیده
Overnight fasting before elective surgery has been the routine to reduce the risk of pulmonary aspiration. Recently, several international guidelines for preoperative fasting recommend to intake carbohydrate-containing fluids up to 2 to 3 hours before the induction of anesthesia to improve postoperative recovery. Based on the recommendations, we developed a "preoperative carbohydrate diet" provided for the preoperative patients. The purpose of this case report is to share our experience of applying preoperative carbohydrate loading prior to surgery.
منابع مشابه
Role of preoperative carbohydrate loading: a systematic review
INTRODUCTION Surgical stress in the presence of fasting worsens the catabolic state, causes insulin resistance and may delay recovery. Carbohydrate rich drinks given preoperatively may ameliorate these deleterious effects. A systematic review was undertaken to analyse the effect of preoperative carbohydrate loading on insulin resistance, gastric emptying, gastric acidity, patient wellbeing, imm...
متن کاملPreservation of the gut by preoperative carbohydrate loading improves postoperative food intake.
BACKGROUND & AIMS A carbohydrate (CHO) drink given preoperatively changes the fasted state into a fed state. The ESPEN guidelines for perioperative care include preoperative CHO loading and re-establishment of oral feeding as early as possible after surgery. An intestinal ischaemia reperfusion (IR) animal model was used to investigate whether preoperative CHO loading increases spontaneous posto...
متن کاملPerioperative Nutrition and Insulin Resistance
Surgical trauma induces a catabolic response with development of insulin resistance as a central and wellcharacterised feature. In insulin resistance, the stimulating effect of insulin on peripheral glucose uptake and the suppressing effect of insulin on endogenous glucose release are decreased, resulting in hyperglycaemia. It is marked the first day after surgery and normalises within two to t...
متن کاملModulating postoperative insulin resistance by preoperative carbohydrate loading.
The concept of preoperative overnight fasting was challenged and proved to have no benefits over allowing patients to drink clear fluids up until 2 h before surgery. This led to changes in the guidelines for preoperative fasting in many countries around the world. This concept has more recently been developed further. Mounting evidence indicates that instead of being operated in the traditional...
متن کاملOral nutrition or water loading before hip replacement surgery; a randomized clinical trial
BACKGROUND Surgery induces insulin resistance that might be alleviated by a nutritional drink given preoperatively. The authors hypothesized that some of the beneficial effects of the drink could be attributed to the volume component (approximately 1 L) rather than to the nutrients. METHODS Sixty patients scheduled for elective total hip replacement under spinal anesthesia were recruited to a...
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عنوان ژورنال:
دوره 5 شماره
صفحات -
تاریخ انتشار 2016