The
Story so far
Traditionally,
the 'nil by mouth' rule has been used prior to surgery to reduce
the risk of pulmonary aspiration during anaesthesia.*
During
the last decade, several studies have questioned the need for
such a prolonged fast. Indeed, current evidence suggests that
appropriate nutrition in the hours before surgery is not only
safe, but can also enhance patient recovery.*

There
is growing evidence to support the theory that carbohydrate loading
before surgery has positive effects on post-operative metabolism,
recovery and patient comfort.*
With
this in mind, Vitaflo has produced preload; a neutral tasting
carbohydrate loading drink mix specifically formulated for use
before surgery. Preload is presented in 50g dose related sachets
which when added to water produce a solution with low osmolality.
Effects
of preload
The
Freeman Hospital, Newcastle-upon-Tyne, used preload to assess
the effect of pre-operative carbohydrate administration on hospital
stay, gut function and grip strength following elective colorectal
surgery.
| Results |
| |
Preload |
Fasting |
Water |
| Mean discharge time |
7.5
days |
10 days |
13 days |
| Median first flatus |
1.5
days |
3 days |
3 days |
| First bowel movement |
3
days |
4 days |
5 days |
| Reduction in grip strength |
5% |
11% |
8% |
Conclusion
Pre-operative
administration of preload leads to significantly reduced post-operative
stay, and a trend towards earlier return of gut function when
compared with fasting or supplementary water.
*
References available from your Vitaflo Representative
|