FASTING IN ELECTIVE SURGICAL XXXX : COMPARISON AMONG THE TIME PRESCRIBED, PERFORMED AND RECOMMENDED ON PERIOPERATIVE CARE PROTOCOLS.

@entity1 @entity6 @entity130 @entity4053
BACKGROUND: Prolonged preoperative @entity4053 may impair nutritional status of the @entity1 and their recovery. In contrast, some studies show that @entity4053 abbreviation can improve the response to @entity130 and decrease the length of hospital stay. AIM: Investigate whether the prescribed perioperative @entity4053 time and practiced by @entity1 is in compliance with current multimodal protocols and identify the main factors associated. METHODS: Cross-sectional study with 65 @entity1 undergoing elective surgery of the digestive tract or abdominal wall. We investigated the @entity4053 time in the perioperative period, hunger and thirst reports, physical status, @entity6 diagnosis, type of surgery and anesthesia. RESULTS: The @entity1 were between 19 and 87 years, mostly female (73.8%). The most performed procedure was cholecystectomy (47.69%) and general anesthesia the most used (89.23%). The most common approach was to start @entity4053 from midnight for liquids and solids, and most of the @entity1 received grade II (64.6%) to the physical state. The real @entity4053 average time was 16 h (9.5-41.58) was higher than prescribed (11 h, 6.58 -26.75). The @entity1 submitted to surgery in the afternoon were in more @entity4053 time than those who did in the morning (p<0.001). The intensity of hunger and thirst increased in postoperative @entity4053 period (p=0.010 and 0.027). The average period of postoperative @entity4053 was 18.25 h (3.33-91.83) and only 23.07% restarted feeding on the same day. CONCLUSION: @entity1 were fasted for prolonged time, higher even than the prescribed time and intensity of the signs of discomfort such as hunger and thirst increased over time. To better recovery and the @entity1 's well-being, it is necessary to establish a preoperative @entity4053 abbreviation protocol.
