Abstract

The ACERTO project is a multimodal perioperative care protocol. Implemented in 2005, the project in the last 15 years has disseminated the idea of a modern perioperative care protocol, based on evidence and with interdisciplinary team work. Dozens of published studies, using the protocol, have shown benefits such as reduced hospital stay, postoperative complications and hospital costs. Disseminated in Brazil, the project is supported by the Brazilian College of Surgeons and the Brazilian Society of Parenteral and Enteral Nutrition, among others. This article compiles publications by the authors who belong to the CNPq research group "Acerto em Nutrição e Cirurgia", refers to the experience of other national authors in various surgical specialties, and finally outlines the evolution of the ACERTO project in the timeline.

Highlights

  • The Nutrition and Surgery Research Group, from the Federal University of Mato Grosso, (UFMT) was structured at CNPq (National Council for Technological and Scientific Development / Brazil) at the end of the last century and, among other lines of research, aimed at increasing the amount of scientific information on perioperative care, an extremely new topic for the Brazilian reality at that time

  • Studies like “Implications of malnutrition in surgery”1, “Early discharge in cholecystectomy”[2] and “Early feeding after intestinal anastomoses: risks or benefits?”3, published before the creation of Acceleration of Full Postoperative Recovery” (ACERTO), formed the structure of the perioperative care protocol that would arise

  • Using the “breakthrough” method, the ACERTO Project was implemented in the second half of 2005, after a sixmonth audit in the Surgery ward of the Julio Muller University Hospital (HUJM, Faculty of Medicine, UFMT)

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Summary

Review article

José Eduardo de-Aguilar-Nascimento, TCBC - MT1,2 ; Alberto Bicudo Salomão, TCBC - MT3; Cervantes Caporossi, TCBC - MT2; Diana Borges Dock-Nascimento[2]; Pedro Eder Portari-Filho, TCBC - RJ4; Antônio Carlos Ligocki Campos, TCBC - PR5; Luiz Eduardo Imbelloni[6]; João Manoel Silva-Jr7; Dan Linetzky Waitzberg, ECBC - SP8; Maria Isabel Toulson Davisson Correia, TCBC - MG9

INTRODUCTION
Planning and Implementation of the ACERTO Project
Evolution of the ACERTO project
Disseminating the ACERTO project
ACERTO Websites
Specialties within the ACERTO project
ACERTO Symposiums
The ACERTO Book
FINAL CONSIDERATIONS

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