Preoperative Carbohydrate Loading in Patients Undergoing Thoracic Surgery: A Quality-Improvement Project.
Journal Article (Journal Article)
PurposeThe purpose of this project was to implement carbohydrate loading in patients undergoing thoracic surgery in an effort to decrease postoperative pain, nausea, and length of stay as a part of an enhanced recovery after surgery protocol.
DesignThis quality-improvement project used a preintervention and postintervention design.
MethodsCarbohydrate loading was given to 50 patients before undergoing thoracic surgery. Chart review was performed for 47 patients who received standard preoperative instructions in the preintervention group as historical control.
FindingsPatients who received carbohydrate loading had a decreased use of opioids in the first 4 hours after surgery (P = .028) and decreased use of antiemetic medication in the first 24 hours after surgery compared with the preintervention group (P = .066). Patients who were instructed to consume carbohydrate loading complied 87% of the time.
ConclusionsCarbohydrate loading can decrease postoperative nausea and pain in patients undergoing thoracic surgery.
- Pachella, LA; Mehran, RJ; Curtin, K; Schneider, SM
- December 2019
- Journal of Perianesthesia Nursing : Official Journal of the American Society of Perianesthesia Nurses
Volume / Issue
- 34 / 6
Start / End Page
- 1250 - 1256
Electronic International Standard Serial Number (EISSN)
International Standard Serial Number (ISSN)
Digital Object Identifier (DOI)