Regurgitation under the ERAS Program: A Case Report
Introduction: Enhanced recovery after surgery (ERAS) is an evidence-based concept that reduces the recovery period after major abdominal surgery. Ingestion of carbohydrate solutions up until two hours before elective surgery has shown positive results. The authors present a case of regurgitation in...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/11/4/92 |
| _version_ | 1797505765195382784 |
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| author | Marta Pires Margarida Marcelino |
| author_facet | Marta Pires Margarida Marcelino |
| author_sort | Marta Pires |
| collection | DOAJ |
| description | Introduction: Enhanced recovery after surgery (ERAS) is an evidence-based concept that reduces the recovery period after major abdominal surgery. Ingestion of carbohydrate solutions up until two hours before elective surgery has shown positive results. The authors present a case of regurgitation in a patient with apparently low risk for delayed gastric emptying who drank a carbohydrate solution two hours before induction of anaesthesia. Case report: An 80-year-old male patient with a relevant history of ischemic heart disease, atrial fibrillation, stage 3 chronic kidney disease and hypertension, was diagnosed with rectal cancer. He was scheduled for an anterior rectal resection hand-assisted laparoscopic surgery under the ERAS program, which included a 200 mL carbohydrate drink the night before and in the morning of the surgery, no less than two hours before the induction of anaesthesia. Immediately after loss of consciousness, there was regurgitation of a significant amount of clear fluid. Discussion: Even though ingestion of oral carbohydrate drinks is considered to be safe up to two hours before anaesthesia, further evaluation (e.g., gastric ultrasonography) may be considered in non-high-risk patients. |
| first_indexed | 2024-03-10T04:22:55Z |
| format | Article |
| id | doaj.art-7adc3943b9c24a5ebe97fda9c26540ce |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-10T04:22:55Z |
| publishDate | 2021-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-7adc3943b9c24a5ebe97fda9c26540ce2023-11-23T07:45:16ZengMDPI AGClinics and Practice2039-72832021-10-0111477577710.3390/clinpract11040092Regurgitation under the ERAS Program: A Case ReportMarta Pires0Margarida Marcelino1Instituto Português de Oncologia de Lisboa, 1099-023 Lisbon, PortugalInstituto Português de Oncologia de Lisboa, 1099-023 Lisbon, PortugalIntroduction: Enhanced recovery after surgery (ERAS) is an evidence-based concept that reduces the recovery period after major abdominal surgery. Ingestion of carbohydrate solutions up until two hours before elective surgery has shown positive results. The authors present a case of regurgitation in a patient with apparently low risk for delayed gastric emptying who drank a carbohydrate solution two hours before induction of anaesthesia. Case report: An 80-year-old male patient with a relevant history of ischemic heart disease, atrial fibrillation, stage 3 chronic kidney disease and hypertension, was diagnosed with rectal cancer. He was scheduled for an anterior rectal resection hand-assisted laparoscopic surgery under the ERAS program, which included a 200 mL carbohydrate drink the night before and in the morning of the surgery, no less than two hours before the induction of anaesthesia. Immediately after loss of consciousness, there was regurgitation of a significant amount of clear fluid. Discussion: Even though ingestion of oral carbohydrate drinks is considered to be safe up to two hours before anaesthesia, further evaluation (e.g., gastric ultrasonography) may be considered in non-high-risk patients.https://www.mdpi.com/2039-7283/11/4/92regurgitationERASaspirationcarbohydrate drink |
| spellingShingle | Marta Pires Margarida Marcelino Regurgitation under the ERAS Program: A Case Report Clinics and Practice regurgitation ERAS aspiration carbohydrate drink |
| title | Regurgitation under the ERAS Program: A Case Report |
| title_full | Regurgitation under the ERAS Program: A Case Report |
| title_fullStr | Regurgitation under the ERAS Program: A Case Report |
| title_full_unstemmed | Regurgitation under the ERAS Program: A Case Report |
| title_short | Regurgitation under the ERAS Program: A Case Report |
| title_sort | regurgitation under the eras program a case report |
| topic | regurgitation ERAS aspiration carbohydrate drink |
| url | https://www.mdpi.com/2039-7283/11/4/92 |
| work_keys_str_mv | AT martapires regurgitationundertheerasprogramacasereport AT margaridamarcelino regurgitationundertheerasprogramacasereport |