title: Early oral nutrition after elective colorectal surgery: influence of balanced analgesia and enforced mobilization.
abstract: Early postoperative nutrition reduces morbidity. We investigated whether the introduction of a new postoperative analgesic and ambulation regimen with enforced mobilization from postoperative day 1 would influence postoperative nutrition intake. Nutrition intake was recorded daily by a record method and compared with the intake in a control group that received the same nutrition regimen but a traditional analgesic and ambulation regimen. The mean intakes of energy during postoperative days 1 to 5 were 73 kJ x kg(-1) x d(-1) in the intervention group and 52 kJ x kg(-1) x d(-1) in the control group (P = 0.04). Protein intakes in the same period were 0.95 g x kg(-1) x d(-1) in the intervention group and 0.57 g x kg(-1) x d(-1) in the control group (P < 0.01). We found that a regimen based on epidural analgesia with local anesthetics, enforced mobilization, and the use of immediate postoperative oral nutrition leads to substantial nutrition intake after colonic surgery during the first postoperative days.
authors.affiliation: Department of Surgery, Aarhus University Hospital, Aarhus, Denmark. gaarden@dadlnet.dk
authors.forename: Morten Gaarden
authors.initials: MG
authors.lastname: Henriksen
authors.forename: Henriette V
authors.initials: HV
authors.lastname: Hansen
authors.forename: Ib
authors.initials: I
authors.lastname: Hessov
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015360:Analgesia, Epidural; D000779:Anesthetics, Local / Q000627:therapeutic use; D002045:Bupivacaine / Q000627:therapeutic use; D003110:Colonic Neoplasms / Q000601:surgery* / Q000628:therapy; D003107:Colorectal Surgery / Q000009:adverse effects; D003289:Convalescence; D004434:Early Ambulation; D002149:Energy Intake / Q000502:physiology*; D004750:Enteral Nutrition / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010149:Postoperative Pain / Q000517:prevention & control; D011182:Postoperative Care / Q000379:methods; D012004:Rectal Neoplasms / Q000601:surgery* / Q000628:therapy
chemical_list: D000779:Anesthetics, Local; D002045:Bupivacaine