Journal ArticleDOI
A meta-analysis of randomised controlled trials on preoperative oral carbohydrate treatment in elective surgery
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TLDR
PCT may be associated with reduced length of stay in patients undergoing major abdominal surgery, however, the included studies were of low to moderate quality.About:
This article is published in Clinical Nutrition.The article was published on 2013-02-01. It has received 271 citations till now. The article focuses on the topics: Elective surgery & Abdominal surgery.read more
Citations
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Journal ArticleDOI
Does preoperative oral carbohydrate treatment reduce the postoperative surgical stress response in lumbar disc surgery
TL;DR: This study suggests that use of POC treatment does not attenuate development of insulin resistance in patients undergoing lumbar disc surgery.
Journal ArticleDOI
Anesthesia for Colorectal Surgery
Gabriele Baldini,William Fawcett +1 more
TL;DR: Anesthesiologists play a pivotal role in facilitating recovery of patients undergoing colorectal surgery, as many Enhanced Recovery After Surgery (ERAS) elements are under their direct control.
Journal ArticleDOI
Fluid Management in Abdominal Surgery: What, When, and When Not to Administer
TL;DR: The authors present an overview of the basic principles that underlie fluid management, including evidence-based recommendations (where tenable) and a rational approach for when and what to administer.
Journal ArticleDOI
Preoperative Nutrition and Postoperative Discomfort in an ERAS Setting: A Randomized Study in Gastric Bypass Surgery
TL;DR: Inside the ERAS protocol, additional preoperative carbohydrate- or protein-enriched fluid treatment did not further reduce immediate patient discomfort in laparoscopic gastric bypass surgery.
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The Effect of Preoperative Oral Carbohydrate or Oral Rehydration Solution on Postoperative Quality of Recovery: A Randomized, Controlled Clinical Trial.
TL;DR: Results of the current study indicated that the preoperative administration of either CHO or ORS did not improve the quality of recovery in patients undergoing minimally invasive body surface surgery.
References
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Journal ArticleDOI
The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials
Krishna K. Varadhan,Keith R. Neal,Cornelius H. C. Dejong,Kenneth C. H. Fearon,Olle Ljungqvist,Dileep N. Lobo +5 more
TL;DR: ERAS pathways appear to reduce the length of stay and complication rates after major elective open colorectal surgery without compromising patient safety.
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Adherence to the enhanced recovery after surgery protocol and outcomes after colorectal cancer surgery.
TL;DR: Improved adherence to the standardized multimodal ERAS protocol is significantly associated with improved clinical outcomes following major colorectal cancer surgery, indicating a dose-response relationship.
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Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology.
Ian Smith,Peter Kranke,Isabelle Murat,Andrew Smith,Geraldine O’Sullivan,Eldar Søreide,Claudia Spies,in't Veld B +7 more
TL;DR: The key recommendations are that adults and children should be encouraged to drink clear fluids up to 2 h before elective surgery (including caesarean section) and all but one member of the guidelines group consider that tea or coffee with milk added (up to about one fifth of the total volume) are still clear fluids.
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Insulin resistance: a marker of surgical stress.
TL;DR: A novel approach to minimize insulin resistance after surgery is being presented and suggests that simply pretreating the elective surgical patient with sufficient amounts of carbohydrates instead of fasting can significantly reduce postoperative insulin resistance.
Journal ArticleDOI
A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients.
Jonatan Hausel,Jonas Nygren,Michael Lagerkranser,Per M. Hellström,Folke Hammarqvist,Caisa Almström,Annika Lindh,Anders Thorell,Olle Ljungqvist +8 more
TL;DR: It is shown that CHO significantly reduces preoperative discomfort without adversely affecting gastric contents, and Placebo did not increase gastric fluid volumes or affect acidity, and there were no adverse events.