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Perioperative Metabolic Therapies in Orthopedics
Published in Kohlstadt Ingrid, Cintron Kenneth, Metabolic Therapies in Orthopedics, Second Edition, 2018
Closer to surgery, ERAS protocols advise minimizing preoperative fasting and clear liquids containing nutrient formulas can safely be offered up to 2 hours before surgery.58 Carbohydrate loading using complex carbohydrates can improve the incidence of postoperative insulin resistance and hyperglycemia which is associated with higher rates of postsurgical infection, as well as reducing PONV and initial pain scores.59
Information on level of drugs into breastmilk
Published in Wendy Jones, Breastfeeding and Medication, 2018
Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Committee on Standards and Practice Parameters, Anesthesiology 3, 2011;114: 495–511.
Paediatric anaesthesia
Published in Daniel Cottle, Shondipon Laha, Peter Nightingale, Anaesthetics for Junior Doctors and Allied Professionals, 2018
Preoperative fasting rules are listed here. Remember that trauma, opiate use and abdominal pathology can prolong gastric emptying. Clear fluids: 2 hoursBreast milk: 4 hoursSolids: 6 hours
Integrating the Fast-Track surgery concept into the surgical treatment of gynecomastia
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Jinguang He, Jiafei Yang, Tingting Dai, Jiao Wei
Choice of anesthetic technique for operation plays an important role in a successful fast-track rehabilitation program. Traditionally, the surgical treatment of gynecomastia is performed under general anesthesia and the recovery would thus be attenuated. By contrast, the local tumescent anesthesia that caused minimal stress response was our primary choice in the fast-track program. There were no special requirements about preoperative fasting and postoperative oral intake, which may help reducing relevant adverse effects and patients’ discomfort. In addition, the total costs were reduced as the general anesthesia fee was saved. However, if there are individual patients who do not accept the fast-track protocol or are scared of surgery in awake state, the general anesthesia still remains a good alternative.
Fentanyl versus midazolam added to bupivacaine for spinal analgesia in children undergoing infraumbilical abdominal surgery: A randomized clinical trial
Published in Egyptian Journal of Anaesthesia, 2022
Marwa Mahmoud AbdelRady, Khaled Abdelbaky Abdelrahman, Wesam Nashat Ali, Ahmed Mohammed Ali, Ghada Mohammad AboElfadl
All patients studied were subjected to a detailed pre anesthetic assessment. Moreover, all routine examinations were conducted. Standard preoperative fasting strategies were followed before the elective anesthesia procedure. No premedication was given, and all patients were pre oxygenated for 3 min through a face mask with 100% oxygen. Standard Association of Anesthetists of Great Britain and Ireland monitoring was applied, and baseline vitals were recorded. Inhalation induction was conducted with sevoflurane (8%) and oxygen. The airway was secured with a laryngeal mask with spontaneous ventilation. Post induction intravenous line was established to infuse ringer lactate at a dose of 10 ml/kg. Anesthesia was maintained with sevoflurane at approximately 2.5% and 50% air and oxygen, respectively. Moreover, blood pressure was maintained between 80% and 70% of the baseline record.
The effect of chewing gum on bowel function postoperatively in patients with total laparoscopic hysterectomy: a randomised controlled trial
Published in Journal of Obstetrics and Gynaecology, 2022
Pinar Kadirogullari, Kerem Doga Seckin, Pinar Yalcin Bahat, Zubeyde Aytufan
Among 134 patients who are planned for TLH, eight patients were excluded due to not matching the inclusion criteria. Among 126 patients who were randomised, six patients from study group and two patients from control group were excluded due to surgical complications and conversion to laparotomy (Figure 1). Fifty-seven patients in study group tolerated chewing gum and we did not observe aspiration of adverse event regarding gum chewing. Both groups were similar in terms of age, body mass index (BMI), history of constipation, history of smoking, history of previous surgical intervention (p > .05) (Table 1). The indication of the surgical intervention performed, the duration of operation, the duration of anaesthesia, intraoperative IV fluid replacement and bleeding, and other factors that may affect post-operative intestinal motility (preoperative fasting period, post-operative potassium values) were also similar (p > .05) (Table 1).