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Multimodal perioperative care plus immunonutrition versus traditional care in total hip arthroplasty: a randomized pilot study.


ABSTRACT:

Background

Multimodal protocols of perioperative care may enhance postoperative recovery. However, limited information is available on preoperative immune and carbohydrate (CHO)-enriched drinks in patients undergoing hip arthroplasty. We aimed to investigate the effect of a multimodal protocol (ACERTO protocol) plus preoperative immune nutrition on the length of stay (LOS) and the postoperative acute phase response of patients undergoing total hip arthroplasty.

Methods

Thirty-two patients (mean age, 58 years; range, 26-85 years; 16 males) were randomized to receive either the ACERTO protocol (n = 15, ACERTO Group), which consisted of 6 h preoperative fasting for solids, an oral drink (200 mL of 12.5 % maltodextrin) up to 2 h before induction of anesthesia, restricted intrave

SUBMITTER: Alito MA 

PROVIDER: S-EPMC4818928 | biostudies-literature | 2016 Apr

REPOSITORIES: biostudies-literature