Nutrition Facts

Ingredients: Maltodextrin, citric acid, natural flavour, sodium chloride, stevia.

Protein, gluten, lactose and fiber-free. No sugar added.

Contains complex carbohydrates derived from corn.

PREcovery® is a “medical food” in the United States, and “food for special dietary use” in Canada.

  • ERAS®* is a quality improvement initiative to improve surgical outcomes.

  • ERAS®* is quickly becoming the new standard of surgical care across the world, as it improves patient outcomes & decreases hospital costs.

  • Carbohydrate loading is an important component of ERAS®*.

What is Carbohydrate Loading in Surgery?

Carbohydrate loading in surgery is defined as consuming at least 50 grams of complex carbohydrates in 400 mL of water, up to 2 hours before anesthesia.2

PREcovery® is Formulated Based on Science

Research shows that carbohydrate loading using complex carbohydrates improves outcomes.

 

Reduces:

  • Insulin resistance1
  • Length of hospital stay2,3
  • Nausea & vomiting4
  • Nitrogen & protein loss5,6
  • Hunger, thirst & anxiety7,8

Improves:

  • Patient well-being9
  • Lean body mass10
  • Muscle strength11,12
 

Carbohydrate Loading is an Evidence-Based Alternative to Preoperative Fasting

Avoidance of preoperative fasting is recommended in the following procedures.**

 

  • Esophagectomy

  • Cardiothoracic surgery

  • Breast reconstruction surgery

  • Bladder surgery

  • Bariatric surgery

  • Rectal & pelvic surgery

  • Colorectal surgery

  • Gynecologic oncology surgery

  • Hepatopancreaticobiliary surgery

  • Gastrointestinal surgery

PREcovery® is a Complex Carbohydrate Drink

PREcovery® contains maltodextrin, which is a complex carbohydrate.

Complex carbohydrates produce more than half the insulin response than simple carbohydrates like juice and sports drinks.

PREcovery® is a Clear Fluid

Anesthesiologist Society Guidelines recommend clear fluids be consumed up to 2 hours before elective surgery. 

PREcovery® Improves Perioperative Insulin Sensitivity

A complex carbohydrate drink taken 2-3 hours before surgery is a safe and effective alternative to fasting (NPO*).

Complex carbohydrates keep the body in a fed state before surgery and minimize the stress response (insulin resistance) produced by surgery.

Adapted from: Ljungqvist O. Jonathan E. Rhoads lecture 2011: insulin resistance and enhanced recovery after surgery. JPEN J Parenter Enteral Nutr. 2012 Jul;36(4):389-98.

*NPO = nothing by mouth.

PREcovery® Has Been Investigated in Clinical Trials

  • Reduced Length of Stay in Major Hepatectomy Surgery After Implementation of an Enhanced Recovery Pathway in the United States Veteran Population

    Virginia Commonwealth University (Nguyen et al., 2020)

    Read More

  • Thirty-day Outcomes After Gynecologic Oncology Surgery: A Single-Center Experience of Enhanced Recovery After Surgery Pathways

    Juravinski Hospital (Bernard et al., 2020)

    Read More

Liquid Gastric Emptying

PREcovery® reliably empties from the stomach in less than 2 hours.

PREcovery® has been validated and tested by gastric emptying scintigraphy (the gold standard for measuring gastric emptying rate).

References

  1. Nygren J, et al. Preoperative oral carbohydrate administration reduces postoperative insulin resistance. Clin Nutr. 1998;17(2):65–71.
  2. ERAS Compliance Group. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Ann Surg. 2015;261(6):1153-1159.
  3. Nygren J, et al. Preoperative oral carbohydrate nutrition: an update. Curr Opin Clin Nutr Metab Care. 2001;4(4):255–259.
  4. Hausel J, et al. Randomized clinical trial of the effects of oral preoperative carbohydrates on postoperative nausea and vomiting after laparoscopic cholecystectomy. Br J Surg. 2005;92(4):415-21.
  5. Crowe PJ, et al. The effect of preoperative glucose loading on postoperative nitrogen metabolism. Br J Surg. 1984;71(8):635–637.
  6. Svanfeldt M, et al. Randomized clinical trial of the effect of preoperative oral carbohydrate treatment on postoperative whole-body protein and glucose kinetics. Br J Surg. 2007;94(11):1342-1350.
  7. Brady M, et al. Preoperative fasting for adults to prevent perioperative complications. Cochrane Database Syst. Rev 2003;4:CD004423.
  8. Hausel J, et al. A carbohydrate-rich drink reduces preoperative discomfort in elective surgery patients. Anesth & Anal. 2001;93(5):1344-1350.
  9. Ljungqvist O, et al. Enhanced recovery after surgery: a review. JAMA Surg. 2017;152(3):292-298.
  10. Yuill KA, et al. The administration of an oral carbohydrate-containing fluid prior to major elective upper gastrointestinal surgery preserves skeletal muscle mass postoperatively—a randomized clinical trial. Clin Nutr. 2005;24(1):32-37.
  11. Henriksen MG, et al. Effects of preoperative oral carbohydrates and peptides on postoperative endocrine response, mobilization, nutrition and muscle function in abdominal surgery. Acta Anaesthesiol Scand. 2003;47(2):191–199.
  12. Noblett SE, et al. Pre-operative oral carbohydrate loading in colorectal surgery: a randomized controlled trial. Colorectal Dis 2006;8(7):563–569.