J Res Med Sci. 2013 Oct;18(10):827-32.
Preoperative carbohydrate nutrition reduces postoperative nausea and vomiting compared to preoperative fasting.
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences
Neslihan Yilmaz, Nedim Cekmen, Ferruh Bilgin, Ela Erten, Mehmet Özhan Ozhan, Ahmet Coşar
Affiliations
Affiliations
- Gülhane Medical Faculty, Department of Anesthesiology and Reanimation, Ankara, Turkey.
- Güven Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
- TDV 29 Mayis Hospital, Department of Anesthesiology and Reanimation, Ankara, Turkey.
PMID: 24497851
PMCID: PMC3897064
Abstract
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.
Keywords: Laparoscopic cholecystectomy; post-operative nausea and vomiting; pre-operative carbohydrate nutrition; pre-operative fasting
References
- Anesth Analg. 2006 Jun;102(6):1884-98 - PubMed
- Best Pract Res Clin Anaesthesiol. 2006 Sep;20(3):457-69 - PubMed
- Ann Surg. 1995 Dec;222(6):728-34 - PubMed
- World J Gastrointest Surg. 2010 Mar 27;2(3):57-60 - PubMed
- Lakartidningen. 1997 Apr 9;94(15):1372-6 - PubMed
- N Engl J Med. 2004 Jun 10;350(24):2441-51 - PubMed
- Eur J Anaesthesiol. 2009 Feb;26(2):123-7 - PubMed
- Br J Surg. 2005 Apr;92(4):415-21 - PubMed
- Anesthesiology. 2011 Mar;114(3):495-511 - PubMed
- Anesth Analg. 2001 Nov;93(5):1344-50 - PubMed
- Acta Anaesthesiol Belg. 2009;60(2):67-73 - PubMed
- Nutrition. 2008 Mar;24(3):212-6 - PubMed
- Br J Surg. 2004 Feb;91(2):151-8 - PubMed
- Curr Opin Clin Nutr Metab Care. 2001 Jul;4(4):255-9 - PubMed
- Int J Pediatr Otorhinolaryngol. 2009 Feb;73(2):263-73 - PubMed
- Wien Klin Wochenschr. 2010 Jan;122(1-2):23-30 - PubMed
- JPEN J Parenter Enteral Nutr. 2007 Jan-Feb;31(1):63-8 - PubMed
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