Ludwig Raquele Brinckmann, Paludo Juliana, Fernandes Daieni, Scherer Fernanda
UNIVATES University Center, Lajeado, RS, Brazil.
Arq Bras Cir Dig. 2013 Jan-Mar;26(1):54-8. doi: 10.1590/s0102-67202013000100012.
Fasting in the night before elective surgery has been established to prevent pulmonary complications, vomiting, regurgitation and aspiration of gastric contents. The year of 2005 was developed the project ACERTO. It consists in a multidisciplinary team that aims to recover the surgical patient by administering two our six hours before surgery, a carbohydrate-rich beverage (12.5% dextrinomaltose). The multidisciplinary team consists of anesthesiologists, surgeons, nutritionists, nurses and physiotherapists.
Literature review of preoperative fasting conducted during September and October of 2011 in Scielo and PubMed.
Reducing the time of preoperative fasting with high carbohydrate solution until two hours before the operation as early feeding postoperatively, bring numerous benefits to the patient. The ACERTO project has shown good results and these new behaviors should be encouraged, thereby reducing the recovery time of the surgical patient.
择期手术前一晚禁食已被确立用于预防肺部并发症、呕吐、反流以及胃内容物误吸。2005年开展了ACERTO项目。该项目由一个多学科团队组成，旨在通过在手术前两到六个小时给予富含碳水化合物的饮料（12.5%的糊精麦芽糖）来使手术患者恢复。多学科团队由麻醉师、外科医生、营养师、护士和物理治疗师组成。
2011年9月和10月在Scielo和PubMed上对术前禁食进行文献综述。
术前用高碳水化合物溶液缩短禁食时间至手术前两小时，并尽早术后进食，给患者带来诸多益处。ACERTO项目已显示出良好效果，应鼓励这些新行为，从而缩短手术患者的恢复时间。
