Reducing preoperative fasting time: A trend based on evidence

被引：73

作者：

de Aguilar-Nascimento, Jose Eduardo ^{[1
]}

Dock-Nascimento, Diana Borges ^{[2
]}

机构：

[1] Univ Mato Grosso, Dept Surg, BR-78000000 Cuiaba, Brazil

[2] Univ Mato Grosso, Julio Muller Hosp, Nutr Sch, Multiprofess Nutr Team, BR-78000000 Cuiaba, Brazil

来源：

WORLD JOURNAL OF GASTROINTESTINAL SURGERY | 2010年 / 2卷 / 03期

关键词：

Perioperative care; Anesthesia complications; Preoperative fasting; Insulin resistance; Carbohydrate; Nutrition;

D O I：

10.4240/wjgs.v2.i3.57

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Preoperative fasting is mandatory before anesthesia to reduce the risk of aspiration. However, the prescribed 6-8 h of fasting is usually prolonged to 12-16 h for various reasons. Prolonged fasting triggers a metabolic response that precipitates gluconeogenesis and increases the organic response to trauma. Various randomized trials and meta-analyses have consistently shown that is safe to reduce the preoperative fasting time with a carbohydrate-rich drink up to 2 h before surgery. Benefits related to this shorter preoperative fasting include the reduction of postoperative gastrointestinal discomfort and insulin resistance. New formulas containing amino acids such as glutamine and other peptides are being studied and are promising candidates to be used to reduce preoperative fasting time. (C) 2010 Baishideng. All rights reserved.

引用

页码：57 / 60

页数：4

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