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
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Journal ArticleDOI
The Effect of Preoperative Oral Intake of Liquid Carbohydrate on Postoperative Stress Parameters in Patients Undergoing Laparoscopic Cholecystectomy: An Experimental Study.
TL;DR: In this paper, the effects of preoperative oral intake of liquid carbohydrate on postoperative stress parameters (blood glucose, insulin resistance, cortisol, noradrenaline, and adrenaline levels) in patients who underwent laparoscopic cholecystectomy were investigated.
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Nutritional management of gastrointestinal surgical patients in Victoria's public hospitals
Lisa A. Barker,Timothy C. Crowe +1 more
TL;DR: Current nutritional management of gastrointestinal surgery patients in Victorian hospitals is far from best practice, and the implementation of a care pathway is the most effective way of ensuring best practice nutritionalmanagement of gastrointestinal surgical patients.
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Perioperative Preparation and Nutritional Considerations for Patients Undergoing Urinary Diversion
TL;DR: Current efforts to optimize patients in the perioperative period, including prehabilitation, smoking cessation, recognition and treatment of comorbid conditions and malnutrition, immunonutrition supplementation, carbohydrate loading, and prevention of known complications and implementation of enhanced recovery after surgery pathways, seem beneficial in helping to improve outcomes in this at-risk population.
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The Elephant in the Room: Nurses' Views of Communication Failure and Recommendations for Improvement in Perioperative Care.
TL;DR: The study revealed that nurses believe that institutional regulations should not only be present but enforced and that strengthening employees' interpersonal skills is essential to preventing communication issues.
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.
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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.