Abstract
The ACERTO project is a multimodal peri-operative care program. The set of routines and prescriptions of the ACERTO project is based on evidence-based medicine as opposed to traditional care, often empirical and taught in the same routine by successive generations of surgeons. Traditional care such as the use of nasogastric tube, abdominal drainage, preoperative colonic preparation, preoperative fasting of 6-8 hours are modified in the project based on evidence from randomized studies and meta-analysis. In addition, the project reinforces the restriction of intravenous fluids and the use of nutritional therapy in the peri-operative. The application of the ACERTO project since 2005 has been modifying results, showing significant reduction of hospitalization days and postoperative morbidity in successive clinical studies. The ACERTO project is free to use.
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