| Patient tolerance of the early introduction of oral fluids after laparotomy. | |
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MedLine Citation:
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PMID: 8323207 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Early introduction of oral fluids after laparotomy permits effective hydration and earlier introduction of diet. Whether patients find such regimens difficult to tolerate has not been properly studied. A series of 60 consecutive patients undergoing abdominal surgery were randomised to receive oral fluids ad libitum from the first postoperative day (group 1) or in the traditional graduated regimen of 30 ml/h for 24 h, 60 ml/h for 24 h, 90 ml/h for 24 h and then free fluids (group 2). Patients were assessed daily with regard to objective and subjective criteria of hydration and nausea as well as noting time to bowel activity and days of first meal and discharge. Both groups had similar changes in serum urea, haematocrit and urine specific gravity; frequency of vomiting and antiemetic usage were also comparable. Patients in group 1 drank more (P < 0.001), however, and consequently felt less dehydrated. Discontinuation of intravenous fluids and ingestion of the first meal were also achieved 24 h earlier in this group. |
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Authors:
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S A Ray; R M Rainsbury |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Annals of the Royal College of Surgeons of England Volume: 75 ISSN: 0035-8843 ISO Abbreviation: Ann R Coll Surg Engl Publication Date: 1993 May |
Date Detail:
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Created Date: 1993-08-03 Completed Date: 1993-08-03 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7506860 Medline TA: Ann R Coll Surg Engl Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 157-60 Citation Subset: IM |
Affiliation:
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Royal Hampshire County Hospital, Winchester. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Dehydration
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prevention & control Female Fluid Therapy / methods* Food Humans Intestinal Diseases / surgery Laparotomy* Male Middle Aged Postoperative Care / methods* Time Factors |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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