Introduction:Even though nearly 20 patients undergo hip replacement every hour just in Italy and the United Kingdom,it is unclear what are the most appropriate oral hydration practices that patients should follow before and after surgery.Improper administration can cause postoperativefluid disturbances or exacerbate pre-existing conditions, which are notan uncommonfind in older subjects.Significance:Considering that the number of hip operations is expected toincrease in the next years as well as the age of patients, it is important to recall the notions behind water balance,especially in light of modern surgical and anesthetic practices. This technical perspective discusses the perioperativechanges in the hydration status that occur during hip replacement and provides the concepts that help clinicians to bettermanage how much water the patient can drink.Results:The points of view of the surgeon, the anesthetist, and the nurseare offered together with the description of mineral waters intended for human consumption. Before surgery, watershould be always preferred over caffeinated, sugar-sweetened, and alcoholic beverages. The drinking requirements onthe day of surgery should consider the water output from urine, feces, respiration, exudation, and bleeding along with thewater input from metabolic production and intravenous administration offluids and medications. Healthy eating habitsprovide water and should be promoted before and after surgery.Conclusions:The judgment on which is the mostappropriate approach to oral hydration practices must be the responsibility of the multidisciplinary perioperative team.Nevertheless, it is reasonable to argue that, in the presence of a patient with no relevant illness and who follows a healthydiet, it is more appropriate to stay closer to dehydration than liberalizing water intake both prior to surgery and in theearly postoperative hours until the resumption of normal physiological functions.

Oral Hydration Before and After Hip Replacement: The Notion Behind Every Action / M. Briguglio, T. W Wainwright, T. Crespi, K. Southern, L. Mangiavini, J. Craig, R. G Middleton. - In: GERIATRIC ORTHOPAEDIC SURGERY & REHABILITATION. - ISSN 2151-4585. - 13:(2022), pp. 1-6. [10.1177/21514593221138665]

Oral Hydration Before and After Hip Replacement: The Notion Behind Every Action

M. Briguglio
Primo
;
L. Mangiavini;
2022

Abstract

Introduction:Even though nearly 20 patients undergo hip replacement every hour just in Italy and the United Kingdom,it is unclear what are the most appropriate oral hydration practices that patients should follow before and after surgery.Improper administration can cause postoperativefluid disturbances or exacerbate pre-existing conditions, which are notan uncommonfind in older subjects.Significance:Considering that the number of hip operations is expected toincrease in the next years as well as the age of patients, it is important to recall the notions behind water balance,especially in light of modern surgical and anesthetic practices. This technical perspective discusses the perioperativechanges in the hydration status that occur during hip replacement and provides the concepts that help clinicians to bettermanage how much water the patient can drink.Results:The points of view of the surgeon, the anesthetist, and the nurseare offered together with the description of mineral waters intended for human consumption. Before surgery, watershould be always preferred over caffeinated, sugar-sweetened, and alcoholic beverages. The drinking requirements onthe day of surgery should consider the water output from urine, feces, respiration, exudation, and bleeding along with thewater input from metabolic production and intravenous administration offluids and medications. Healthy eating habitsprovide water and should be promoted before and after surgery.Conclusions:The judgment on which is the mostappropriate approach to oral hydration practices must be the responsibility of the multidisciplinary perioperative team.Nevertheless, it is reasonable to argue that, in the presence of a patient with no relevant illness and who follows a healthydiet, it is more appropriate to stay closer to dehydration than liberalizing water intake both prior to surgery and in theearly postoperative hours until the resumption of normal physiological functions.
perioperative care; water-electrolyte balance; anesthesia; prosthesis implantation; hip; orthopedic surgery
Settore MED/49 - Scienze Tecniche Dietetiche Applicate
Settore MED/33 - Malattie Apparato Locomotore
Settore MED/41 - Anestesiologia
Settore MED/42 - Igiene Generale e Applicata
Settore BIO/09 - Fisiologia
2022
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/945091
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