Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting
| Autor: | Neslihan Yilmaz, Nedim Çekmen, Ferruh Bilgin, Ela Erten, Mehmet Özgür Özhan, Ahmet Coşar |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Journal of Research in Medical Sciences, Vol 18, Iss 10, Pp 827-832 (2013) |
| Druh dokumentu: | article |
| ISSN: | 1735-1995 1735-7136 |
| Popis: | 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 Society of Anesthesiologists physical status I-II patients who underwent elective laparoscopic cholecystectomy. Randomized, prospective, controlled study, Gulhane Medical Faculty and Guven Hospital Department of Anesthesiology and Reanimation. Patients were randomly assigned into two groups: Pre-operative carbohydrate drink group (group C, n = 20) and preoperative fasting group (group F, n = 20). Group C was given a 400 mL carbohydrate drink 2 h before to the surgery. The patients of group F were fasted 8 h before the surgery. Both groups were operated under general anesthesia with volatile anesthetics. Results: Hemodynamic parameters, demographic data, gastric acidity and residual volumes were similar for both groups. No complications were observed. PONV and antiemetic consumption was lower in group C compared to group F (P = 0.001). Patient′s satisfaction was higher in group C (P < 0.001). Conclusion: This study showed that pre-operative carbohydrate drink may be used safely and also improves patient′s satisfaction and comfort in patients undergoing laparoscopic cholecystectomy. |
| Databáze: | Directory of Open Access Journals |
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