Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)

The trauma involved in any surgical procedure, even if elective, causes a metabolic stress response characterized by postoperative insulin resistance (PIR). PIR is considered a surgical stress marker and is associated with increased morbidity and postoperative length of stay. PIR worsens when the pa...

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Autores principales:	Sánchez C.,Andrés, Papapietro V.,Karin
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2017
Materias:	Carbohydrate Metabolism Diet, Carbohydrate Loading Insulin Resistance Nutrition Therapy Perioperative Care Perioperative Period
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101447
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spelling	oai:scielo:S0034-988720170011014472018-04-06Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)Sánchez C.,AndrésPapapietro V.,Karin Carbohydrate Metabolism Diet, Carbohydrate Loading Insulin Resistance Nutrition Therapy Perioperative Care Perioperative Period The trauma involved in any surgical procedure, even if elective, causes a metabolic stress response characterized by postoperative insulin resistance (PIR). PIR is considered a surgical stress marker and is associated with increased morbidity and postoperative length of stay. PIR worsens when the patient is operated in a state of prolonged preoperative fasting or when postoperative feeding is delayed. The ERAS Protocols (Enhanced Recovery After Surgery) includes anesthetic, surgical, kinesiology, nutritional and nursing interventions aimed to modulate PIR. The nutritional perioperative interventions in the ERAS protocols, focus on avoiding prolonged preoperative fasting by oral carbohydrate loading up to two hours before surgery, accompanied by early postoperative feeding through the digestive tube. These nutritional perioperative interventions are safe and effective to reduce complications and postoperative stay, even in patients with well controlled type 2 diabetes. Nevertheless, their implementation and compliance are rather low, therefore, we must continue to make efforts in order to change perioperative nutritional management of our patients to achieve the best possible postoperative recovery.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.11 20172017-11-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101447es10.4067/s0034-98872017001101447
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Carbohydrate Metabolism Diet, Carbohydrate Loading Insulin Resistance Nutrition Therapy Perioperative Care Perioperative Period
spellingShingle	Carbohydrate Metabolism Diet, Carbohydrate Loading Insulin Resistance Nutrition Therapy Perioperative Care Perioperative Period Sánchez C.,Andrés Papapietro V.,Karin Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
description	The trauma involved in any surgical procedure, even if elective, causes a metabolic stress response characterized by postoperative insulin resistance (PIR). PIR is considered a surgical stress marker and is associated with increased morbidity and postoperative length of stay. PIR worsens when the patient is operated in a state of prolonged preoperative fasting or when postoperative feeding is delayed. The ERAS Protocols (Enhanced Recovery After Surgery) includes anesthetic, surgical, kinesiology, nutritional and nursing interventions aimed to modulate PIR. The nutritional perioperative interventions in the ERAS protocols, focus on avoiding prolonged preoperative fasting by oral carbohydrate loading up to two hours before surgery, accompanied by early postoperative feeding through the digestive tube. These nutritional perioperative interventions are safe and effective to reduce complications and postoperative stay, even in patients with well controlled type 2 diabetes. Nevertheless, their implementation and compliance are rather low, therefore, we must continue to make efforts in order to change perioperative nutritional management of our patients to achieve the best possible postoperative recovery.
author	Sánchez C.,Andrés Papapietro V.,Karin
author_facet	Sánchez C.,Andrés Papapietro V.,Karin
author_sort	Sánchez C.,Andrés
title	Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
title_short	Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
title_full	Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
title_fullStr	Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
title_full_unstemmed	Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)
title_sort	nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (protocolo eras)
publisher	Sociedad Médica de Santiago
publishDate	2017
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017001101447
work_keys_str_mv	AT sanchezcandres nutricionperioperatoriaenprotocolosquirurgicosparaunamejorrecuperacionpostoperatoriaprotocoloeras AT papapietrovkarin nutricionperioperatoriaenprotocolosquirurgicosparaunamejorrecuperacionpostoperatoriaprotocoloeras
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Nutrición perioperatoria en protocolos quirúrgicos para una mejor recuperación postoperatoria (Protocolo ERAS)

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