Crtical Care and Shock Journal

Role of Enteral Nutrition in Pre-operative Patients

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Preoperative fasting had been the standard of care for years. In the light of newest recommendations this practice has been changing. In 1999, The Canadian Anesthetist’s Society (CAS) (1) and American Society of Anesthesiologists (ASA) (2) had published guidelines, which recommends that patients be allowed to drink clear fluid two hours prior to induction of anesthesia. However, still the traditional preoperative approach of fasting for several hours is being carried out in several institutions.

We present a case of burn patient who had undergone skin-graft surgically on four occasions. The patient received two different nutritional regimens in the preoperative period; enteral nutrition and fasting. The preoperative nutrition management of patient with enteral nutrition resulted in more satisfaction, less hunger, thirst and reduced postoperative nausea and vomiting (PONV) as compared to when the patient was receiving no enteral nutrition in preoperative period.

Luciana B Sutanto, Salim Surani, Teddy OH Prasetyono, Embing Syamsudin, A Sugeng, Irawan Muhidin

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