Journal of Anesthesia

, Volume 19, Issue 4, pp 323–324

Immediate postoperative refeeding in orthopedic surgery is safe

  • Thomas Rimmelé
  • Emmanuel Combourieu
  • Pierre-François Wey
  • Emmanuel Boselli
  • Bernard Allaouchiche
  • Dominique Chassard
  • Jacques Escarment
Article

DOI: 10.1007/s00540-005-0337-x

Cite this article as:
Rimmelé, T., Combourieu, E., Wey, P. et al. J Anesth (2005) 19: 323. doi:10.1007/s00540-005-0337-x

Abstract

The purpose of this retrospective study was to investigate the morbidity of immediate postoperative refeeding after orthopedic surgery. We included all the 1077 patients who underwent orthopedic surgery between January and December 2003 at our military teaching hospital. General anesthesia was performed in 37% of the patients (n = 398), 24% (n = 259) had combined general and regional anesthesia, and 39% (n = 420) had isolated regional anesthesia (spinal anesthesia and/or peripheral regional anesthesia). After surgery, each patient was allowed free access to solid and liquid food immediately after discharge from the postanesthetic care unit. Although no systematic nausea and vomiting prophylaxis was performed, only 7% (n = 75) of the patients had postoperative nausea and vomiting during the first 48 h. Moreover, neither deglutition trouble nor aspiration syndrome was observed during that period. Our results suggest that immediate postoperative refeeding after orthopedic surgery is safe, does not increase postoperative nausea and vomiting, and probably increases the comfort of patients.

Key words

Early oral intakePostoperative nausea and vomitingRegional anesthesia

Copyright information

© JSA 2005

Authors and Affiliations

  • Thomas Rimmelé
    • 1
  • Emmanuel Combourieu
    • 2
  • Pierre-François Wey
    • 2
  • Emmanuel Boselli
    • 1
  • Bernard Allaouchiche
    • 1
  • Dominique Chassard
    • 1
  • Jacques Escarment
    • 2
  1. 1.Anesthesiology and Critical Care MedicineEdouard Herriot HospitalLyonFrance
  2. 2.Anesthesiology and Critical Care MedicineDesgenettes Teaching Military HospitalLyonFrance