KẾT QUẢ BƯỚC ĐẦU TRIỂN KHAI LIỆU PHÁP CARBOHYDRAT TRƯỚC PHẪU THUẬT TẠI KHOA UNG BƯỚU BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

One of the most important principles for preoperative care in ERAS protocols is carbohydrate therapy. However, up to now, there have been no reports on the feasibility of synchronously implementing this procedure in clinical practice in Viet Nam. Our survey comprised 47 patients who underwent preoperative carbohydrate therapy at the Oncology Department for two months. As a result, the overall compliance rate for the process was 74,5%. The compliance rate for morning surgery was statistically significantly higher than for afternoon surgery (86,8% and 25,5%; p<0,05). The most common cause of non-compliance was due to errors in medical orders of nurses and doctors (33,3%). The majority of patients (91,4%) tolerated the therapy well. There were no complications of aspiration or gastroesophageal reflux. Performing this therapy in patients with type 2 diabetes does not increase the risk of postoperative hyperglycemia, but does require caution indication and close monitoring. From the initial results, we also gained insight into some problems and experiences when expanding the process in the hospital.