BACKGROUND Prolonged preoperative fasting increases insulin resistance and current evidence recommends carbohydrate (CHO) drinks 2 hours before surgery. Our hypothesis is that the addition of whey protein to a CHO-based drink not only reduces the inflammatory response but also diminish insulin resistance. METHODS Seventeen patients scheduled to cholecystectomy or inguinal herniorraphy were ra...

BACKGROUND The aim of this prospective, randomized, single-blinded study was to compare the effects of a carbohydrate drink 400 mL given 2 h before the surgery with preoperative overnight fasting on the gastric pH and residual volume, postoperative nausea and vomiting (PONV) and antiemetic consumption in patients undergoing laparoscopic cholecystectomy. MATERIALS AND METHODS Forty American So...

AIMS The tyrosine kinase receptor Axl is expressed in the vasculature, and growth arrest-specific protein 6 (Gas6) is its ligand. Plasma Gas6 levels have been shown to be associated with endothelial dysfunction markers and cardiovascular events. We set out to determine the plasma Gas6 levels in patients undergoing coronary artery bypass grafting (CABG) and investigate the expression of Gas6 and...

PURPOSE To evaluate the effects of total parenteral nutrition and octreotide on pediatric patients with chylous ascites post-operative. METHODS Four patients were diagnosed with chylous ascites from Nov 2009 to Nov 2012. Total parenteral nutrition and octreotide was administered to 2 patients, while the other two only received fasting and total parenteral nutrition. All patients had persisten...

BACKGROUND The ideal timing of surgical management for hip fractures remains controversial. Currently, individual surgeon preference and departmental resources guide decision making regarding the use of emergency or planned operating lists for hip fracture surgery. We evaluated patient preference for emergency or planned surgery. METHODS 102 patients awaiting surgery for a hip fracture at a t...

sepsis and septic shock are among mortality causes following major surgeries. the charlson co-morbidity index consists of 19 weighted categories related to chronic health which measures the burden of co-morbidity. the goal of this study was to determine the incidence of postoperative sepsis in patients underwent gynecological and gastrointestinal cancer surgeries and predictive role of charlson...

Abstract Background Nasogastric (NG) feeding is commonly employed as a first line method of enteral feeding. This needs to be stopped pre-operatively resulting in missed calories and protein. Nasojejunal (NJ) an alternative that can continue during surgery used gastric stasis. In this audit we want determine the calorie protein loss major burns patients at Northern Regional Burn Centre who have...

Abstract Aim Even in the face of evidence-based recommendations, ‘nil by mouth from midnight’ regimen has persisted because it is easy to administer and allows for theatre flexibility. We aimed audit preoperative fasting practices at Kasturba Medical College Hospital Attavar, India against Indian Society Anaesthesiologists (ISA) national guidelines. Method Prospective clinical involving ASA 1 2...

The incidence of premature multi-vessel coronary artery disease (CAD) is on the rise in Malaysia. The pathogenesis of coronary atherosclerosis is multi-factorial with dyslipidaemia being one such risk factor. Elevated total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and triglycerides (TG) levels are primarily responsible. We analysed the fasting pre-operative lipid profiles o...

while fasting has been practiced for centuries, its beneficial effects was unknown until recently. this review tries to analyze the current literature of how fasting and intermittent fasting (if) could affect clinical pathological parameters, learning, mood and brain plasticity. the effects of different ways of fasting on metabolism and stress were also explored. animal experiments have elucida...