Perioperative nutrition support : Who and how REVIEW
نویسنده
چکیده
UTRITION SUPPORT—total parenteral nutrition (TPN) and enteral nutrition (tube feedings)—is not for everybody undergoing surgery. Although giving nutrition support before and after surgery can decrease postoperative morbidity and mortality, several well-designed studies showed that certain subsets of surgical patients suffer worse outcomes with TPN than with standard care.1–4 Therefore, it is imperative to carefully choose which patients should receive nutrition support and by what route. In this article we briefly review the literature on this controversial topic and describe methods for assessing nutritional status and determining which patients should receive perioperative nutrition support. We also discuss how to supply nutrition to patients who require perioperative nutrition support.
منابع مشابه
Perioperative Nutrition in Abdominal Surgery: Recommendations and Reality
Introduction. Preoperative malnutrition is a major risk factor for increased postoperative morbidity and mortality. Definition and diagnosis of malnutrition and its treatment is still subject for controversy. Furthermore, practical implementation of nutrition-related guidelines is unknown. Methods. A review of the available literature and of current guidelines on perioperative nutrition was con...
متن کاملManagement of perioperative nutrition support.
PURPOSE OF REVIEW Perioperative nutrition has been extensively studied, but numerous questions remain unanswered. This review focuses on new developments in nutrient delivery in the immediate perioperative period. Issues specifically addressed include which patients are most likely to benefit from perioperative nutritional supplementation, and the optimal route, timing, and quantity of nutrient...
متن کاملPerioperative fasting and children: A review article
This review provides an overview of the present knowledge on the aspects of preoperative fasting with the assessment of the evidence quality. A systematic research was conducted in electronic databases in order to identify trials published between 1990 and 2014 concerning preoperative fasting, early resumption of oral intake and the effects of oral carbohydrate mixtures on gastric emptying and ...
متن کاملPromoting Perioperative Metabolic and Nutritional Care.
Surgery represents a major stressor that disrupts homeostasis and can lead to loss of body cell mass. Integrated, multidisciplinary medical strategies, including enhanced recovery programs and perioperative nutrition support, can mitigate the surgically induced metabolic response, promoting optimal patient recovery following major surgery. Clinical therapies should identify those who are poorly...
متن کاملNutritional Support in the Perioperative Period Topic 17 Module 17.4 Nutritional Goals in the Perioperative Period. Facilitating Oral or Enteral Nutrition
• To learn about common methods used to assess nutritional state in preoperative patients; • To review caloric and protein requirements before and after surgery; • To decide what is the most appropriate route of nutrition in various surgical diseases. • To review the causes of postoperative gastrointestinal paralysis; • To learn in some detail about the perioperative interventions that have bee...
متن کامل