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For Med Pros

How to Decrease PIR & Reduce The Risk of Surgical Site Infection with Preop Carbohydrate Loading

As physicians, surgeons and anesthesiologists, we know your number-one goal is to ensure patient safety during surgery—while at the same time ensuring efficient hospital stay times and high patient satisfaction. Surgical site infections caused by postoperative insulin resistance (PIR) are not only dangerous to your patients, but can affect your patient satisfaction scores (HCAHPS) negatively. Today, then, we’re breaking down how preop carbohydrate loading can reduce the risk of surgical site infection and lead to higher patient satisfaction. We’ll cover: 

 

 

  • The role NPO plays in PIR and subsequent surgical site infections
  • How Preop carbohydrate loading can reduce the risk of surgical site infection
  • The proper protocol to recommend for preop carb loading
  • Other things to consider when using carb loading to reduce the risk of surgical site infection
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    Now, let’s dig in…

     

    The Role NPO Plays in PIR and Surgical Site Infections

    The old-school “no food or drink after midnight” (NPO) method induces a catabolic state where the normal relationship between insulin and glucose are uncoupled. To compensate for the lack of “fuel” brought on by fasting, the body uses up its critical glycogen stores and then begins to breakdown fat and muscle as alternative energy sources. Insulin levels rise in response to rising glucose levels, but target cells (including muscle) fail to respond to it. Ultimately, this leads to PIR in patients. Following surgery, PIR can translate into hyperglycemia, increasing the chance of surgical site infections (as the “sweet environment” invites microbial colonization). 

     

    How Preop Carbohydrate Loading can Reduce the Risk of Surgical Site Infection

    In addition to meeting the preop nutrition and hydration recommendations of the ASA®, true preop carbohydrate loading ends the starvation state that features interim metabolic pathways that “uncouple” the glucose-insulin relationship and ultimately render a patient catabolic. In fact, according to an article published in Annals of the Royal College of Surgeons of England, “Surgical stress in the presence of fasting worsens the catabolic state, causes insulin resistance and may delay recovery…Preoperative carbohydrate drinks significantly improved insulin resistance.” In all, there are numerous instances of international literature strongly supporting a relationship between true preop carbohydrate loading and the prolonged reduction (up to 50%) of PIR

     

    What protocol should I recommend patients follow when recommending preop carbohydrate loading?

    Typically, the pre-op “loading process” involves 3 servings of ClearFast consumed about 12, 8 and, finally, 2 hours prior to surgery.  Many protocols advocate at least 2 servings at 8 and 2 hours pre-operatively. You can always visit our drinking instructions page or contact us at support@drinkcf.com should you have any questions at all on how patients should consume ClearFast. (PRO TIP: We always recommend patients chill ClearFast to make the preop beverage even tastier.)

     

    Other Things to Keep in Mind When Using Preop Carb Loading to Reduce the Risk of Surgical Site Infection: 

     

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    Overall, more and more modern medical research points to the fact that preop carbohydrate loading (with the right ERAs® drink) works to reduce the risk of surgical site infection by reducing PIR—ultimately leading to shorter hospital stays and increased patient satisfaction. Ready to have ClearFast on-hand at your medical practice? You can order ClearFast here or reach out to the ClearFast team at support@drinkcf.com if you have any questions at all. We’re always here and happy to help!

 

Categories
Healing Tips

Sick After Anesthesia? Here’s How to Reduce Post-Op Nausea & Vomiting

If you’re someone who gets sick after anesthesia, you know just how frustrating it can be to wake up from surgery nauseous and vomiting—especially when all you want to do is get discharged and head home for your recovery. When we created ClearFast, our number-one goal was to formulate a product that would make for safer, less stressful surgeries for patients around the world—and reducing post-op nausea and vomiting was a huge part of that goal. Today, then, we’re breaking down all you need to know about this common phenomenon and how to avoid getting sick after anesthesia the next time you go under the knife. We’ll cover: 

  • How common it is to get sick after anesthesia
  • What causes contribute to getting sick after anesthesia, including the role fasting-from-midnight plays in making you sick
  • How to reduce your risk of getting sick after anesthesia
  • How to use the ClearFast Preop Drink to drastically reduce your chances of getting sick after anesthesia

Now, let’s dig in…

Is it common to get sick after anesthesia?

Unfortunately, getting sick after anesthesia is extremely common. In fact, according to an article published in Continuing Education in Anaesthesia Critical Care & Pain, one in three patients suffer from post-op nausea and vomiting (or PONV). 

What causes me to get sick after anesthesia

The key causes of PONV are two-fold: First, prolonged fasting (from the old-school instruction to “fast from midnight”) causes an unnecessary build-up of stomach acid. These stomach acids are one major cause of PONV. Second, the anesthesia drugs themselves—taken on an empty stomach—cause patients to get sick upon waking. Most of us can’t even take an ibuprofen on an empty stomach without getting nauseous, so imagine what taking heavy anesthesia drugs does to your system after you haven’t had anything to eat or drink since midnight! Basically, you’re pumping your body full of powerful drugs with nothing but stomach acid in your stomach—it’s a clear recipe for vomiting and nausea upon waking from surgery….and an extended hospital stay, which no one wants!

How do I reduce my risk of getting sick after anesthesia

We recommend asking your doctor about replacing the old-school fasting-from-midnight method with a good fluid fast instead (you can read more about why fasting-from-midnight is outdated and unnecessary here). This will ensure your stomach isn’t empty—and isn’t producing all of those nasty stomach acids that make you sick—when you’re administered the anesthesia. But not just any fluid will do—research shows that you need something rich in complex carbs that will act as a liquid food. But, in order to be safe for surgery, the liquid also needs to be clear and colorless and free of simple sugars (sorry, sports drinks!). 

Enter: ClearFast Preop Drink! ClearFast is the only preop drink of its kind that’s safe for surgery, free of simple sugars, and is specifically formulated to reduce your risk of getting sick after anesthesia. Plus, ClearFast is gluten-free, contains all natural ingredients, is free of harmful colored dyes and preservatives, and is chock-full of a number of other ingredients that can are beneficial to your surgery experience, including: 

  • Electrolytes (for optimal hydration)
  • Zinc and L-Citrulline (properties that help heal)
  • Vitamin A (supports health and tissue function)
  • Selenium (a trace mineral that acts as an antioxidant and contributes to healthy immune function)

Does the ClearFast Preop Drink work for patients who usually get sick after anesthesia, and how do I take it? 

Absolutely! ClearFast has received a number of rave reviews from patients who normally get sick after anesthesia who report that, after taking ClearFast, they didn’t experience the post-op nausea and vomiting they normally do. In fact, L.C. said, “[ClearFast PreOp] really made the difference in my recovery. I felt alert and didn’t have nausea when I awoke from surgery. My friends were so impressed by my process, that 2 of them immediately scheduled their procedures after mine. Their results were just as amazing.”

If your doctor says it’s OK to take ClearFast before your surgery, you can check out our post on how to use ClearFast here, or even use our ClearFast calculator to determine when and how to take ClearFast before your surgery. (PRO TIP: We recommend chilling ClearFast overnight to make it even tastier!) 

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Overall, if you’re tired of getting sick after anesthesia and are looking for a smart, simple, science-based solution for an easier recovery and quicker hospital discharge, ClearFast is your new best friend! You can order your ClearFast Presurgery Drink here. And, as always, don’t hesitate to reach out to the ClearFast team at support@drinkcf.com if you have any questions at all. We’re always here and happy to help!

Categories
Healing Tips Presurgery Nutrition

How to Heal Faster from Surgery: Using ClearFast to get an Edge on Recovery after Cosmetic Surgery

So you’ve made the courageous decision to go under the knife! No matter the type of nip or tuck you’ve opted for, if you’re brave enough to go under anesthesia for elective cosmetic surgery, you’re not alone. In fact, according to a report from the American Society of Plastic Surgeons, 17.1 million cosmetic procedures were performed in the U.S. in 2016 alone, and 46% of cosmetics patients were repeat patients. If you’re one of those repeat patients, chances are you probably want to know how to heal faster from surgery so you can get to that all-exciting reveal that much quicker! Well, not to fear cosmetic gurus—we’ve got you covered. Today on the blog, we’re breaking down: 

 

  • How drinking ClearFast makes for an easier surgery prep process
  • How drinking ClearFast helps you heal faster from surgery, including: 
    • Reducing your risk of post-op infection
    • Reducing your risk of post-op nausea and vomiting

 

Now, let’s dig in…

 

How drinking ClearFast makes for easier surgery prep:

In recent years, more and more medical research has pointed to the fact that going under anesthesia starved and dehydrated is an unnecessary evil of the surgery prep process. Because of this, doctors and hospitals across the U.S. are now doing away with the old-school “fasting from midnight” instructions and, instead, recommending patients drink a clear, complex carb-rich beverage like the ClearFast presurgery drink instead. There are a number of reasons this makes for easier surgery prep, including: 

 

  • Your pre-op anxiety is reduced. No matter how many times you’ve gone under the knife for cosmetic enhancements, chances are you still feel a little nervous heading into your procedure. Those nerves are only exacerbated by the fact you have absolutely nothing in your stomach. The ClearFast presurgery drink, then, works to reduce the stress and anxiety that come along with being starved and dehydrated before surgery. In fact, in a large controlled study, patients in the pre-op area who drank ClearFast were 5.5-6.5 times more likely to describe themselves as “comfortable” than their cohorts who underwent the old-school fasting-from-midnight option.

 

  • You’re not starved and dehydrated. Heading into surgery is a bit like heading into a marathon—it makes no sense to deprive yourself of all-important hydration and complex carbs before you’re getting ready to undertake such major physical stress. ClearFast provides medical-grade hydration and acts as a liquid food, so your body has all of the nutrition it needs to go under the knife in the strongest state possible.

 

  • Your IV “sticks” are so much easier. Being poked and prodded with IVs is no fun. Have you ever noticed how it’s worse right before you go into surgery? That’s because dehydration from the old-school fasting-from-midnight instruction leads to reduced blood flow, which means it often takes your nurse multiple, painful IV sticks to find a good vein. ClearFast works to drastically reduce this problem by ensuring you’re properly hydrated before surgery and have healthy, easy-to-find veins!

 

How drinking ClearFast helps you heal faster from surgery:

Getting an edge on the recovery process means being proactive by properly preparing your body for your procedure before you go under. By drinking ClearFast before your surgery, you’re giving your body medical-grade nutrition and hydration…rather than sending it to battle starved and dehydrated as is the case with fasting-from-midnight. There are a number of significant ways ClearFast gives you a leg up on the dreaded recovery process, including: 

 

  • It reduces your chance of post-op nausea and vomiting. If you’re someone who wakes up from anesthesia sick to your stomach, you know just how frustrating post-op nausea and vomiting can be when you’re trying to get out of the hospital and onto the recovery process. It turns out that fasting before surgery is largely responsible for the nausea and vomiting so many patients experience after waking up from anesthesia.  But, ClearFast customers who, in the past experienced nausea and vomiting after waking from surgery, time and time again report that taking the ClearFast preop drink completely eliminated this problem for them. 

 

 

  • It decreases your risk of post-op infection: When you’re having a cosmetic procedure done, you want to heal faster from surgery and get back to normal activity as soon as you can! You don’t want to delay your big reveal because of an infection. Unfortunately, the old-school fasting-from-midnight method can increase your risk of surgical infection, as it ends up sending your body into a catabolic state. Essentially, this means that, to compensate for the lack of “fuel” brought on by fasting, your body uses up its glycogen stores and then begins to breakdown fat and muscle as alternative energy sources. Insulin levels rise in response to rising glucose levels and, in effect, you can become insulin-resistant. When you’re insulin-resistant after surgery and have a fresh surgical incision, the chance for infection greatly increases. Because ClearFast works to reduce your chance of becoming postoperative insulin resistant, it also reduces your risk of surgical infection.

 

 

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Overall, for those who are undergoing multiple cosmetic surgeries and want to heal faster from surgery and get a huge edge on recovery, there’s no better solution than preparing your body with ClearFast. If you’re ready to wake up from anesthesia feeling strong and ready for that big reveal, you can order your ClearFast Presurgery Drink here. And, as always, don’t hesitate to reach out to the ClearFast team at support@drinkcf.com if you have any questions at all. We’re always happy to help!

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