Implementation of anaesthesia begins with a preoperative assessment of the surgical patient and development of an anaesthetic plan. Preparation of the patient includes the preoperative assessment, review of preoperative tests, optimisation of medical conditions, adequate preoperative fasting, appropriate premedication, and the explanation of anaesthetic risk to patients. The goals of preoperati...

BACKGROUND Preoperative malnutrition worsens the prognosis of cancer patients. However, it is not certain how preoperative malnutrition affects postoperative hematogenous metastasis. We examined the influence of preoperative starvation on liver metastasis in rats using intra-vascular injection of AH109A hepatoma cells. METHODS Male donryu rats were divided into Fasting and Control groups. Rat...

Recent findings Recently published preoperative fasting guidelines for pediatric patients are covered along with studies comparing gastric volume following different fasting intervals. Pediatric obstructive sleep apnea is discussed. Clinical presentation, severity, perioperative risks, and controversies as whether outpatient procedures are suitable for these patients are presented. New data cov...

INTRODUCTION Fasting in the night before elective surgery has been established to prevent pulmonary complications, vomiting, regurgitation and aspiration of gastric contents. The year of 2005 was developed the project ACERTO. It consists in a multidisciplinary team that aims to recover the surgical patient by administering two our six hours before surgery, a carbohydrate-rich beverage (12.5% de...

INTRODUCTION many factors can have a negative influence over surgical results, such as a compromised nutritional status and the extension of the perioperative fasting time. OBJECTIVE to evaluate the influence of the nutritional status and the perioperative fasting time over the occurrence of surgical complications and over hospital stay, in patients who have undergone surgery of the gastroint...

BACKGROUND Prolonged preoperative fasting may impair nutritional status of the patient and their recovery. In contrast, some studies show that fasting abbreviation can improve the response to trauma and decrease the length of hospital stay. AIM Investigate whether the prescribed perioperative fasting time and practiced by patients is in compliance with current multimodal protocols and identif...

OBJECTIVE To compare the postoperative clinical outcomes of patients undergoing cancer surgery in the Mato Grosso Cancer Hospital before and after implementation of the ACERTO protocol. METHODS We prospectively observed 271 patients during two periods: the first between April and May 2010 (n = 101) comprised patients undergoing conventional conducts (Phase 1) and the second from September to ...

BACKGROUND Insulinoma is the most common endocrine tumor of the pancreas. Accurate preoperative detection and localization of insulinomas is essential for the appropriate selection of candidates for surgery. We present two cases with benign pancreatic insulinoma. CASE PRESENTATION Preoperative evaluation for patients with suspected insulinomas has been controversial. Endoscopic ultrasonograph...