PMID- 32559794
OWN - NLM
STAT- MEDLINE
DCOM- 20210809
LR  - 20230728
IS  - 1806-9339 (Electronic)
IS  - 0100-7203 (Print)
IS  - 0100-7203 (Linking)
VI  - 42
IP  - 8
DP  - 2020 Aug
TI  - Preoperative Fasting Abbreviation and its Effects on Postoperative Nausea and 
      Vomiting Incidence in Gynecological Surgery Patients.
PG  - 468-475
LID - 10.1055/s-0040-1712994 [doi]
AB  - OBJECTIVE:  To investigate the effects of preoperative fasting abbreviation with 
      a carbohydrate and protein-enriched solution, on postoperative nausea and 
      vomiting (PONV) incidence in gynecological surgery patients, a population 
      naturally at risk for such unpleasant episodes. METHODS:  The present prospective 
      double-blind randomized study was performed at The Hospital Municipal e 
      Maternidade Dr. Odelmo Leao Carneiro (HMMOLC, in the Portuguese acronym), in 
      Uberlandia, state of Minas Gerais, Brazil, in partnership with the Gynecology 
      Department of the Universidade Federal de Sao Paulo (UNIFESP), approved by the 
      Human Research Ethics Committee of UNIFESP and the board of HMMOLC, and included 
      in the Brazil Platform and in the Brazilian Clinical Trial Registry. After 
      signing the consent form, 80 women, who were submitted to gynecological surgery 
      in the period from January to June 2016, were randomized into 2 groups: control 
      group (n = 42) and juice group (n = 38). They received, respectively, 200 mL of 
      inert solution or liquid enriched with carbohydrate and protein 4 hours 
      presurgery. The incidence, frequency and intensity of PONV were studied using the 
      Visual Analogue Scale (VAS), with statistical analysis performed by the software 
      IBM SPSS Statistics for Windows, Version 20.0 (IBM Corp, Armonk, NY, USA). 
      RESULTS:  The incidence of nausea and vomiting was lower than in the literature, 
      to this population, with 18.9% (14/74) for the control group and 10.8% (8/74) for 
      the juice group, respectively, with no statistically significant difference 
      between the groups. CONCLUSION:  The incidence of nausea and vomiting was lower 
      than in the literature, but it cannot be said that this is due to the 
      abbreviation of fasting. It can provide greater comfort, with the possibility of 
      PONV prevention in patients at risk for these episodes.
CI  - The Author(s). This is an open access article published by Thieme under the terms 
      of the Creative Commons Attribution License, permitting unrestricted use, 
      distribution, and reproduction so long as the original work is properly cited. 
      (https://creativecommons.org/licenses/by/4.0/).
FAU - Marquini, Gisele Vissoci
AU  - Marquini GV
AUID- ORCID: 0000-0003-4573-5361
AD  - Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de 
      Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Pinheiro, Francisco Edes da Silva
AU  - Pinheiro FEDS
AUID- ORCID: 0000-0003-3443-183X
AD  - Department of Gynecology, Hospital Municipal Maternidade Dr. Odelmo Leao 
      Carneiro, Uberlandia, MG, Brazil.
FAU - Vieira, Alfredo Urbano da Costa
AU  - Vieira AUDC
AUID- ORCID: 0000-0002-0488-3256
AD  - Department of Gynecology, Hospital Municipal Maternidade Dr. Odelmo Leao 
      Carneiro, Uberlandia, MG, Brazil.
FAU - Pinto, Rogerio Melo da Costa
AU  - Pinto RMDC
AUID- ORCID: 0000-0002-3397-5803
AD  - Faculty of Mathematics, Universidade Federal de Uberlandia, Uberlandia, MG, 
      Brazil.
FAU - Uyeda, Maria Gabriela Baumgarten Kuster
AU  - Uyeda MGBK
AUID- ORCID: 0000-0003-4189-3645
AD  - Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de 
      Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Girao, Manoel Joao Batista Castello
AU  - Girao MJBC
AUID- ORCID: 0000-0002-1206-9377
AD  - Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de 
      Sao Paulo, Sao Paulo, SP, Brazil.
FAU - Sartori, Marair Gracio Ferreira
AU  - Sartori MGF
AUID- ORCID: 0000-0002-3001-6076
AD  - Department of Gynecology, Escola Paulista de Medicina, Universidade Federal de 
      Sao Paulo, Sao Paulo, SP, Brazil.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
TT  - Efeitos da abreviacao de jejum pre-operatorio na incidencia de nauseas e vomitos 
      em pacientes cirurgico-ginecologicas.
DEP - 20200619
PL  - Brazil
TA  - Rev Bras Ginecol Obstet
JT  - Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira 
      das Sociedades de Ginecologia e Obstetricia
JID - 9214757
SB  - IM
MH  - Adult
MH  - Double-Blind Method
MH  - *Fasting
MH  - Female
MH  - Gynecologic Surgical Procedures/*adverse effects
MH  - Humans
MH  - Postoperative Nausea and Vomiting/*epidemiology
MH  - Preoperative Care/*methods
MH  - Prospective Studies
PMC - PMC10309243
COIS- The authors have no conflict of interests to declare.
EDAT- 2020/06/20 06:00
MHDA- 2021/08/10 06:00
PMCR- 2020/06/01
CRDT- 2020/06/20 06:00
PHST- 2020/06/20 06:00 [pubmed]
PHST- 2021/08/10 06:00 [medline]
PHST- 2020/06/20 06:00 [entrez]
PHST- 2020/06/01 00:00 [pmc-release]
AID - 190137 [pii]
AID - 10.1055/s-0040-1712994 [doi]
PST - ppublish
SO  - Rev Bras Ginecol Obstet. 2020 Aug;42(8):468-475. doi: 10.1055/s-0040-1712994. 
      Epub 2020 Jun 19.