ORGANIC INFLAMMATORY RESPONSE TO REDUCED PREOPERATIVE FASTING TIME, WITH A CARBOHYDRATE AND PROTEIN ENRICHED SOLUTION; A RANDOMIZED TRIAL.
| Autor: | de Andrade Gagheggi Ravanini G; Oncologic Surgeon of the Gaffreé and Guinle University Hospital, Rio de Janeiro.. guilhermeravanini@gmail.com., Portari Filho PE; General Surgeon, Professor of the Rio de Janeiro School of Medicine and Surgery, Chief of Surgery Department B of the Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro.. guilhermeravanini@gmail.com., Abrantes Luna R; General Surgeon of the Hospital of the State Officials of Rio de Janeiro, Rio de Janeiro.. guilhermeravanini@gmail.com., Almeida de Oliveira V; Graduate Student of Medicine, Federal University of the State of Rio de Janeiro -UNIRIO (Brazil).. guilhermeravanini@gmail.com. |
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| Jazyk: | angličtina |
| Zdroj: | Nutricion hospitalaria [Nutr Hosp] 2015 Aug 01; Vol. 32 (2), pp. 953-7. Date of Electronic Publication: 2015 Aug 01. |
| DOI: | 10.3305/nh.2015.32.2.8944 |
| Abstrakt: | Background: this study aims to assess the organic inflammatory response of the video laparoscopic cholecystectomy, with abbreviation of the preoperative fasting to 2h using a carbohydrate and protein enriched solution. Methods: this is a randomized, prospective study with patients divided into the following 2 groups: group A, conventional fasting and group B, 2h abbreviated fasting with oral ingestion of a carbohydrate and protein solution. Serum glucose, insulin, interleukin 1, and TNF-α were mesasured before ingestion of the solution, during induction of anesthesia, and 4 h after the end of surgery. Results: thirty-eight patients completed the study without presenting pulmonary complications associated with bronchoaspiration. The postoperative HOMA-IR variance was greater in group A (p = 0.001). Conclusion: the abbreviation of preoperative fasting for 2 h, using carbohydrate and protein enriched solutions, is safe, reduces insulin resistance, and does not increase the risk of bronchoaspiration. (Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.) |
| Databáze: | MEDLINE |
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