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