The effects of preoperative carbohydrate loading on postoperative nausea and vomiting: An integrative review
Jennifer Meyer, DNAP, CRNA
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Background: Postoperative nausea and vomiting (PONV) is a very common problem among surgical patients. Despite improved methods of risk identification, the incidence of PONV remains as high as 20–40%. It can increase hospital length of stay and greatly reduce patient satisfaction. The purpose of this integrative review is to examine the effects of both oral and IV preoperative carbohydrate loading on the incidence of postoperative nausea and vomiting in surgical patients. Methods: A review the literature was completed by searching for the terms related to preoperative carbohydrate loading and PONV. Results: Twenty studies met the criteria and were analyzed for this review. Twelve publications showed that PONV or antiemetic usage was reduced by either oral or IV preoperative carbohydrate intake. Seven publications showed that PONV was not changed significantly by these interventions. One study had no patients with PONV. There was a low rate of complications discussed among the research with only one case of aspiration. Conclusion: There is a need for more research to be done in this area. However, preoperative carbohydrate loading shows evidence of some decreased PONV with low instance of complications.
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|Review Type||Faculty Approved: Degree-based Submission|
|Research Approach||Translational Research/Evidence-based Practice|
|Grantor||Bryan College of Health Sciences|
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