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Maltodextrine preoperative

Miguel Aprelino Alito, José Eduardo de Aguilar-Nascimento
BACKGROUND: Multimodal protocols of perioperative care may enhance postoperative recovery. However, limited information is available on preoperative immune and carbohydrate (CHO)-enriched drinks in patients undergoing hip arthroplasty. We aimed to investigate the effect of a multimodal protocol (ACERTO protocol) plus preoperative immune nutrition on the length of stay (LOS) and the postoperative acute phase response of patients undergoing total hip arthroplasty. METHODS: Thirty-two patients (mean age, 58 years; range, 26-85 years; 16 males) were randomized to receive either the ACERTO protocol (n = 15, ACERTO Group), which consisted of 6 h preoperative fasting for solids, an oral drink (200 mL of 12...
2016: Nutrition Journal
Cassandra Pogatschnik, Ezra Steiger
Preoperative carbohydrate-containing clear liquids (usually composed of approximately 12% carbohydrate predominantly in maltodextrin form) have provided benefits for the surgical population and further have been included in the Enhanced Recovery After Surgery (ERAS) Society's recommendations as part of a multimodal approach to reduce surgical patients' length of stay and complication rates. Carbohydrate metabolism is greatly affected by the fed state, which is activated by preoperative carbohydrate fluids given up to 2 hours prior to surgery in contrast to the traditional midnight preoperative fast...
October 2015: Nutrition in Clinical Practice
Fabiana Vieira Breijão Zani, José Eduardo Aguilar-Nascimento, Diana Borges Dock Nascimento, Ageo Mário Cândido da Silva, Fernanda Stephan Caporossi, Cervantes Caporossi
OBJECTIVE: To evaluate the change in respiratory function and functional capacity according to the type of preoperative fasting. METHODS: Randomized prospective clinical trial, with 92 female patients undergoing cholecystectomy by laparotomy with conventional or 2 hours shortened fasting. The variables measured were the peak expiratory flow, forced expiratory volume in the first second, forced vital capacity, dominant handgrip strength, and non-dominant handgrip strength...
April 2015: Einstein
Luigi R Brianez, Cervantes Caporossi, Yure W de Moura, Lorena A Dias, Regis V Leal, José E de Aguilar-Nascimento
CONTEXT: The addition of glutamine in preoperative drinks may enhance the benefits of carbohydrate alone. OBJECTIVES: To evaluate the gastric residual volume after the intake of a beverage containing carbohydrate plus glutamine. METHODS: Eleven healthy volunteers (24-30 years-old) were randomized in a crossover fashion to intake 400 mL (4h before) and 200 mL (2h before) of a beverage containing either 12.5% maltodextrin (carbohydrate group) or 12...
April 2014: Arquivos de Gastroenterologia
Paula Alves Pexe-Machado, Benedito Dario de Oliveira, Diana Borges Dock-Nascimento, Jose Eduardo de Aguilar-Nascimento
OBJECTIVE: Prolonged preoperative fasting increases postoperative hospital length of stay and current evidence recommends patients drink a carbohydrate-based liquid drink 2 h before surgery. The aim of this study was to investigate whether the addition of hydrolyzed protein to a carbohydrate-based drink would reduce both the inflammatory response and hospital length of stay. METHODS: We evaluated 22 patients of both sexes, undergoing gastrointestinal resection due to cancer...
July 2013: Nutrition
Diana Borges Dock-Nascimento, Jose Eduardo de Aguilar-Nascimento, Dan Linetzky Waitzberg
OBJECTIVE: To investigate whether the abbreviation of preoperative fasting with a drink containing glutamine and dextrinomaltose improves organic response to surgical trauma. METHODS: Thirty-six female patients adult (18-62 years) candidates for elective laparoscopic cholecystectomy were randomly divided into three groups: conventional fasting (fasting group), and two groups receiving two different diets, eight hours (400ml) and two hours before induction of anesthesia (200ml): carbohydrate (CHO) group (12...
December 2012: Revista do Colégio Brasileiro de Cirurgiões
Gibran Roder Feguri, Paulo Ruiz Lúcio Lima, Andréa Mazoni Lopes, Andréa Roledo, Miriam Marchese, Mônica Trevisan, Haitham Ahmad, Bruno Baranhuk de Freitas, José Eduardo de Aguilar-Nascimento
INTRODUCTION: Limited information is available about preoperative fasting abbreviation with administration of liquid enriched with carbohydrates (CHO) in cardiovascular surgeries. OBJECTIVES: To evaluate clinical variables, security of the method and effects on the metabolism of patients undergoing fasting abbreviation in coronary artery bypass graft (CABG) surgery. METHODS: Forty patients undergoing CABG were randomized to receive 400 ml (6 hours before) and 200 ml (2 hours before) of maltodextrin at 12...
January 2012: Revista Brasileira de Cirurgia Cardiovascular
Alexandra Sufit, Lindsay B Weitzel, Christine Hamiel, Kelly Queensland, Ira Dauber, Olav Rooyackers, Paul E Wischmeyer
BACKGROUND AND OBJECTIVE: Glutamine (GLN) has been shown to protect against in vitro and in vivo myocardial injury. In humans, perioperative ischemia/reperfusion (I/R) injury during cardiac surgery is associated with higher morbidity and mortality. The objective of this safety and feasibility pilot trial was to determine if pharmacologically dosed, preoperative oral GLN attenuates myocardial injury in cardiac surgery patients. METHODS: Patients undergoing elective cardiac surgery, requiring cardiopulmonary bypass, were enrolled in a randomized, double-blind pilot trial to receive 25 g twice of oral alanyl-glutamine (GLN; n = 7) or maltodextrin (CONT; n = 7) daily for 3 days preoperatively...
September 2012: JPEN. Journal of Parenteral and Enteral Nutrition
Diana Borges Dock-Nascimento, Jose Eduardo de Aguilar-Nascimento, Marcelo Sepulveda Magalhaes Faria, Cervantes Caporossi, Natasha Slhessarenko, Dan Linetzky Waitzberg
BACKGROUND: Prolonged preoperative fasting increases insulin resistance (IR). The authors investigated whether an abbreviated preoperative fast with glutamine (GLN) plus a carbohydrate (CHO)-based beverage would improve the organic response after surgery. METHODS: Forty-eight female patients (19-62 years) were randomized to either standard fasting (control group) or to fasting with 1 of 3 different beverages before video-cholecystectomy. Beverages were consumed 8 hours (400 mL; placebo group: water; GLN group: water with 50 g maltodextrine plus 40 g GLN; and CHO group: water with 50 g maltodextrine) and 2 hours (200 mL; placebo: water; GLN: water with 25 g maltodextrine plus 10 g GLN; and CHO: water with 25 g maltodextrine) before anesthesia...
January 2012: JPEN. Journal of Parenteral and Enteral Nutrition
Nada Rotovnik Kozjek, Lidija Kompan, Peter Soeters, Irena Oblak, Denis Mlakar Mastnak, Barbara Možina, Vesna Zadnik, Franc Anderluh, Vaneja Velenik
BACKGROUND & AIMS: Enteral glutamine may have protective effects on gut function and reduce metabolic stress in patients receiving radiochemotherapy. The aim of our study was to evaluate its influence in patients with rectal cancer undergoing preoperative radiochemotherapy. METHODS: We performed a randomized double blind, placebo controlled pilot study in 33 patients. 30 g of glutamine, average dose 0.41 g/kg (SD = 0.07) g/kg/day was administered orally in three doses per day for five weeks during preoperative radiochemotherapy of rectal cancer...
October 2011: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
D Borges Dock-Nascimento, J E D Aguilar-Nascimento, C Caporossi, M Sepulveda Magalhães Faria, R Bragagnolo, F Stephan Caporossi, D Linetzky Waitzberg
INTRODUCTION: No study so far has tested a beverage containing glutamine 2 h before anesthesia in patients undergoing surgery. OBJECTIVES: The aim of the study was to investigate: 1) the safety of the abbreviation of preoperative fasting to 2 h with a carbohydrate-L-glutamine-rich drink; and 2) the residual gastric volume (RGV) measured after the induction of anesthesia for laparoscopic cholecystectomies. METHODS: Randomized controlled trial with 56 women (42 (17-65) years-old) submitted to elective laparoscopic cholecystectomy...
January 2011: Nutrición Hospitalaria: Organo Oficial de la Sociedad Española de Nutrición Parenteral y Enteral
Marcelo S M Faria, José E de Aguilar-Nascimento, Osvânio S Pimenta, Luis C Alvarenga, Diana B Dock-Nascimento, Natasha Slhessarenko
BACKGROUND: Studies showing the improvement of insulin sensitivity by reducing the term of preoperative fasting are mostly done in patients undergoing major operations. More information about the role of shortened preoperative fasting in perioperative metabolism is needed for such elective minor/moderate abdominal procedures as laparoscopic cholecystectomy. We investigated the influence of a carbohydrate-rich drink given 2 h before laparoscopic cholecystectomy on insulin resistance and the metabolic response to trauma...
June 2009: World Journal of Surgery
M Kaska, T Grosmanová, E Havel, R Hyspler
INTRODUCTION: The clinical studies carried out leads to the hypothesis that the starvation of patients for several hours prior to a surgical procedure has a negative influence on the internal metabolic environment of a patient. It also has an impact on the psychosomatic disposition of the patient's physiology of metabolic processes and the proper functioning of vital organs and systems. This hypothesis was already stated by doctors specialized in Intensive Care Units in other European countries...
November 2006: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
S E Noblett, D S Watson, H Huong, B Davison, P J Hainsworth, A F Horgan
OBJECTIVE: Surgery induces a catabolic response with stress hormone release and insulin resistance. The aim of this study was to assess the effect of pre-operative carbohydrate administration on grip strength, gastrointestinal function and hospital stay following elective colorectal surgery. METHODS: Thirty-six patients undergoing elective colonic resection were randomized into one of three groups. Group 1 were fasted; Group 2 were given pre-operative oral water, Group 3 received equivalent volumes of a Maltodextrin drink...
September 2006: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
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