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

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 intake Postoperative nausea and vomiting Regional anesthesia 

References

  1. 1.
    Aldrete, JA, Kroulik, D 1970A postanesthetic recovery scoreAnesth Analg49924934PubMedGoogle Scholar
  2. 2.
    Hoshi, T, Yamashita, S, Tanaka, M, Motokawa, K, Toyooka, H 1999Early oral intake after arthroscopic surgery under spinal anesthesiaJ Anesth13205208CrossRefPubMedGoogle Scholar
  3. 3.
    Bardram, L, Funch, JP, Jensen, P, Crawford, ME, Kehlet, H 1995Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisationLancet345763764CrossRefPubMedGoogle Scholar
  4. 4.
    Akyol, MU, Ozdem, C, Celikkanat, S 1995Early oral feeding after total laryngectomyEar Nose Throat J742830PubMedGoogle Scholar
  5. 5.
    Guedj, P, Eldor, J, Stark, M 1991Immediate postoperative oral hydratation after caesarean sectionAsia Oceania J Obstet Gynaecol17125129PubMedGoogle Scholar
  6. 6.
    Apfel, CC Korttila, K Abdalla, M Kerger, H Turan, A Vedder, I Zernak, C Danner, K Jokela, R Pocock, SJ Trenkler, S Kredel, M Biedler, A Sessler, DI Roewer, N IMPACT Investigators2004A factorial trial of six interventions for the prevention of postoperative nausea and vomitingN Engl J Med35024412451CrossRefPubMedGoogle Scholar
  7. 7.
    Gan, TJ, Meyer, T, Apfel, CC, Chung, F, Davis, PJ, Eubanks, S, Kovac, A, Philip, BK, Sessler, DI, Temo, J, Tramèr, MR, Watcha, M 2003Consensus guidelines for managing postoperative nausea and vomitingAnesth Analg976271CrossRefPubMedGoogle Scholar

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

Personalised recommendations