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Arquivos Brasileiros de Cirurgia... 2018Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to... (Review)
Review
INTRODUCTION
Considering the practice of preoperative fasting based on observations on the gastric emptying delay after induction and the time of this fast is closely linked to organic response to trauma, arise the question about preoperative fasting period necessary to minimize such response and support the professional with clinical and scientific evidence.
AIM
To review the aspects related to the abbreviation of preoperative fasting from the metabolic point of view, physiology of gastric emptying, its clinical benefits and the currently recommendations.
METHOD
Literature review was based on articles and guidelines published in English and Portuguese, without restriction of time until January 2017, in PubMed, SciELO and Cochrane with the descriptors: surgery, preoperative fasting, carbohydrate. From the universe consulted, 31 articles were selected.
RESULTS
The literature suggests that the abbreviation of fasting with beverage added carbohydrates until 2 h before surgery, can bring benefits on glycemic and functional parameters, reduces hospitalization, and does not present aspiration risk of healthy patients undergoing elective surgery. Another nutrient that has been added to the carbohydrate solution and has shown promising results is glutamine.
CONCLUSION
The abbreviation of preoperative fasting with enriched beverage with carbohydrates or carbohydrate and glutamine seems to be effective in the care of the surgical patient, optimizing the recovery from of postoperative period.
Topics: Fasting; Humans; Preoperative Care; Time Factors
PubMed: 29972405
DOI: 10.1590/0102-672020180001e1377 -
British Journal of Hospital Medicine... Dec 2017
Review
Topics: Exercise Therapy; Humans; Postoperative Complications; Preoperative Care; Surgical Procedures, Operative
PubMed: 29240494
DOI: 10.12968/hmed.2017.78.12.729 -
Plastic and Reconstructive Surgery Jul 2015After studying this article, the participant should be able to: 1. Determine those patients appropriate for outpatient surgery. 2. Choose appropriate anesthetics. 3....
LEARNING OBJECTIVES
After studying this article, the participant should be able to: 1. Determine those patients appropriate for outpatient surgery. 2. Choose appropriate anesthetics. 3. Manage patients with cardiac disease. 4. Limit complications occurring intraoperatively.
SUMMARY
This article provides continuing medical education information regarding the current state of practice concerning outpatient surgery. A thorough preoperative evaluation is necessary to identify comorbid conditions and patients at risk for pulmonary compromise. Guidelines are provided on the use of sedatives, analgesics, and reversal agents. The management of patients with coronary artery stents and/or cardiac rhythm management devices is discussed. Effective surgical team communication is crucial to ensure that everyone is aware of conditions that may require adjustments from the usual healthy patients. Lastly, suggestions are provided to avoid intraoperative problems such as drug reactions and pressure ulcers. As our aging population presents for an increasing number of procedures, plastic surgeons must ensure that patient safety is a priority.
Topics: Ambulatory Surgical Procedures; Humans; Interprofessional Relations; Intraoperative Complications; Patient Care Team; Patient Safety; Patient Selection; Postoperative Complications; Preoperative Care
PubMed: 26111336
DOI: 10.1097/PRS.0000000000001335 -
Anesthesiology Clinics Mar 2016Previously undiagnosed anemia is often identified during routine assessment of surgical patients. Although studies suggest that perioperative anemia is associated with... (Review)
Review
Previously undiagnosed anemia is often identified during routine assessment of surgical patients. Although studies suggest that perioperative anemia is associated with worse outcomes and a strong predictor for postoperative red cell transfusions, anemia is frequently ignored. Preoperative optimization of patients undergoing elective surgical procedures associated with significant blood loss, along with strategies to minimize intraoperative blood loss, shows promise for reducing postoperative transfusions and improving outcomes. In most situations, anemia can be corrected prior to elective surgeries and interventions. Future research should assess the timing and methods of optimization of preoperative anemia in surgery and which patients are best candidates for therapy.
Topics: Anemia; Blood Transfusion; Humans; Perioperative Care; Preoperative Care; Surgical Procedures, Operative
PubMed: 26927743
DOI: 10.1016/j.anclin.2015.10.011 -
Laryngo- Rhino- Otologie Jun 2015
Topics: Checklist; Endoscopy; Germany; Humans; Intraoperative Complications; Medical Errors; Operating Rooms; Otorhinolaryngologic Surgical Procedures; Patient Positioning; Preoperative Care; Surgical Instruments; Tomography, X-Ray Computed
PubMed: 26039041
DOI: 10.1055/s-0035-1549892 -
Anaesthesiology Intensive Therapy 2024The current literature indicates that routine evaluation of preoperative anxiety, its determinants, and patient-specific concerns is universally advocated. This aligns... (Review)
Review
The current literature indicates that routine evaluation of preoperative anxiety, its determinants, and patient-specific concerns is universally advocated. This aligns with the increasingly acknowledged importance of prehabilitation - a comprehensive process preparing patients for surgery. A crucial component of prehabilitation is assessing patients' mental health. Recommendations for psychological evaluations in prehabilitation encompass, inter alia, determining the severity of anxiety. This work builds on a 2019 article, which presented scales for preoperative anxiety assessment: the State Trait Anxiety Inventory (STAI), the Hospital Anxiety and Depression Scale (HADS), the Amsterdam Preoperative Anxiety and Information Scale (APAIS), and the Visual Analogue Scale (VAS). This article extends the possibilities of preoperative anxiety assessment by introducing four additional methods: the Surgical Fear Questionnaire (SFQ), the Anxiety Specific to Surgery Questionnaire (ASSQ), the Surgical Anxiety Questionnaire (SAQ), and Anesthesia- and Surgery-dependent Preoperative Anxiety (ASPA). The authors provide comprehensive details on these instruments, including scoring, interpretation, availability, and usefulness both in scientific research and clinical practice. The authors also provide the data on the availability of Polish versions of the presented methods and preliminary data on the reliability of SFQ in patients awaiting cardiac surgery. This review seems relevant for professionals in multiple disciplines, including anesthesiology, surgery, clinical psychology, nursing, primary care and notably prehabilitation. It emphasizes the necessity of individualizing anxiety assessment and acknowledging patient subjectivity, which the presented methods facilitate through a thorough evaluation of specific patient concerns. The literature review also identifies concerns and future research avenues in this area. The importance of qualitative studies and those evaluating prehabilitation intervention is emphasized.
Topics: Humans; Anxiety; Preoperative Care; Surveys and Questionnaires; Reproducibility of Results; Psychiatric Status Rating Scales
PubMed: 38741439
DOI: 10.5114/ait.2024.136508 -
British Journal of Hospital Medicine... Apr 2018
Review
Topics: Cardiovascular Physiological Phenomena; Exercise Test; Humans; Preoperative Care
PubMed: 29620981
DOI: 10.12968/hmed.2018.79.4.238 -
AANA Journal Apr 2015This article discusses the importance of individualizing the preoperative anesthesia assessment. Establishing trust between the interviewer and patient results in a...
This article discusses the importance of individualizing the preoperative anesthesia assessment. Establishing trust between the interviewer and patient results in a positive, calming effect from preoperative period through to PACU. An interviewing technique can eas- ily be developed to alleviate anxiety and still make patients aware of risks and potential outcomes.
Topics: Anesthesia; Anesthesia, General; Anxiety; Humans; Nurse Anesthetists; Patient-Centered Care; Practice Guidelines as Topic; Preoperative Care; Professional-Patient Relations; Risk Factors
PubMed: 26016164
DOI: No ID Found -
JAMA Nov 2022
Topics: Humans; Kidney Failure, Chronic; Renal Dialysis; Preoperative Care; Time Factors
PubMed: 36326729
DOI: 10.1001/jama.2022.19442 -
Anesthesiology Sep 2020
Review
Topics: Anesthesiologists; Anesthesiology; Enhanced Recovery After Surgery; Humans; Patient Compliance; Preoperative Care
PubMed: 32358253
DOI: 10.1097/ALN.0000000000003331