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Preoperative Oral Carbohydrate Load Versus Placebo in Major Elective Abdominal Surgery (PROCY)

Wednesday, March 21, 2018

Submitted by

Mark Ferguson

Source

Source Name: Annals of Surgery

Source URL: https://journals.lww.com/annalsofsurgery/Abstract/2018/04000/Preoperative_Oral_C…

Author(s)

Luca Gianotti, Roberto Biffi, Marta Sandini, Daniele Marrelli, Andrea Vignali, Riccardo Caccialanza, Jacopo Viganò, Annarita Sabbatini, Giulio Di Mare, Mario Alessiani, Francesco Antomarchi, Maria Grazia Valsecchi, Davide P Bernasconi

One of the more contentious issues in Enhanced Recovery After Surgery (ERAS) programs is the role of preoperative carbohydrate loading. This randomized trial demonstrated less need for insulin for treating serum glucose >180 mg/dl in the carbohydrate-loading group compared to the placebo group (2.4% versus 16.0%; RR 0.15; p<0.001) with no change in the frequency of postoperative infection.