title: Lesser time of preoperative fasting and early postoperative feeding are safe?
abstract: BACKGROUND
  Fasting in the night before elective surgery has been established to prevent pulmonary complications, vomiting, regurgitation and aspiration of gastric contents. The year of 2005 was developed the project ACERTO. It consists in a multidisciplinary team that aims to recover the surgical patient by administering two our six hours before surgery, a carbohydrate-rich beverage (12.5% dextrinomaltose). The multidisciplinary team consists of anesthesiologists, surgeons, nutritionists, nurses and physiotherapists.
  
  
  METHODS
  Literature review of preoperative fasting conducted during September and October of 2011 in Scielo and PubMed.
  
  
  CONCLUSIONS
  Reducing the time of preoperative fasting with high carbohydrate solution until two hours before the operation as early feeding postoperatively, bring numerous benefits to the patient. The ACERTO project has shown good results and these new behaviors should be encouraged, thereby reducing the recovery time of the surgical patient.
authors.affiliation: UNIVATES University Center, Lajeado, RS, Brazil. raquele@universo.univates.br
authors.forename: Raquele Brinckmann
authors.initials: RB
authors.lastname: Ludwig
authors.forename: Juliana
authors.initials: J
authors.lastname: Paludo
authors.forename: Daieni
authors.initials: D
authors.lastname: Fernandes
authors.forename: Fernanda
authors.initials: F
authors.lastname: Scherer
mesh_terms: D005215:Fasting / Q000009:adverse effects; D005248:Feeding Methods / Q000009:adverse effects; D006801:Humans; D011182:Postoperative Care / Q000009:adverse effects / Q000379:methods*; D011300:Preoperative Care / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors