Key result
Preoperative carbohydrate drinks significantly reduced insulin resistance and improved postoperative discomfort, though 8 of 10 trials showed no significant reduction in hospital stay.
Why the study?
Current evidence regarding the efficacy of preoperative carbohydrate drinks prior to elective surgery has been inconsistent and contradictory.
Do oral preoperative carbohydrate drinks improve hospital stay, insulin resistance, and postoperative discomfort in adult patients undergoing cardiac or abdominal surgery compared to standard fasting?
Systematic Review (n=2,065)
Yes
Do oral preoperative carbohydrate drinks improve hospital stay, insulin resistance, and postoperative discomfort in adult patients undergoing cardiac or abdominal surgery compared to standard fasting?
Preoperative carbohydrate drinks are safe and effective for reducing insulin resistance and postoperative discomfort in surgical patients, challenging traditional prolonged fasting practices.
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Supports preoperative carbohydrate drinks in cardiac/abdominal surgery; challenges fasting guidelines and confirms metabolic/comfort benefits.
Noba et al. (2019) conducted a systematic review in Abdominal or cardiac surgery (n=2,065). Preoperative carbohydrate drinks vs. Preoperative fasting was evaluated on Hospital stay, insulin resistance, and postoperative discomfort. Preoperative carbohydrate drinks significantly reduced insulin resistance and improved postoperative discomfort, though 8 of 10 trials showed no significant reduction in hospital stay.
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