a clear carbohydrate-rich beverage could counteract that insulin
resistance.
The emerging ERAS pre-op nutrition ideas are being accepted and
codified by many influential, traditional industry groups. For example,
the American Association of Nurse Anesthetists (AANA) recognizes
ERAS as a "clinical practice resource" (osmag.net/FpQJ3d), with the
recommendation of a light meal (such as toast and clear liquids) up to
6 hours pre-op, and a carbohydrate beverage up to 2 hours pre-op.
The American Society of Anesthesiologists (ASA) concurs
(osmag.net/3jKMYf). The American College of Surgeons (ACS) pro-
motes pre-op nutrition strategies as part of its multifaceted Strong for
Surgery (S4S) pre-surgery patient health optimization program
(osmag.net/ZHj9qF).
While this new pre-op nutrition consensus is building in the
research and academic communities, many hospitals and surgical cen-
ters — either out of resistance or ignorance — still haven't adopted
these new approaches. But by bulking up on protein, carbs, vitamins,
minerals and acids — all the way up until 2 hours before surgery —
your patients could have shorter recoveries and better outcomes.
OSM
5 2 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 9
They come in all kinds of flavors and sizes and — most impor-
tantly — formulae, but they all promise the same thing: If your
patients drink them before surgery, they'll be in a healthier state
during and after surgery. Here's a look at 5 pre-op nutrition
drinks. It's worth clicking each web link, looking at each prod-
uct's ingredients and claims, and asking around to see what
other facilities are using and what's proving effective.
A Bounty of Pre-op Nutrition Drinks
TASTE OF SUCCESS
