Nutritional Support in the Perioperative Period Topic 17 Module 17.4 Nutritional Goals in the Perioperative Period. Facilitating Oral or Enteral Nutrition
نویسنده
چکیده
• 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 been shown to promote postoperative gut function; • In particular, to learn about the uses of epidural analgesia and multimodal analgesia to promote bowel function, the importance of fluid balance, and the role, if any, of prokinetic drugs;
منابع مشابه
Management 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 کاملAppropriate use of parenteral nutrition through the perioperative period.
Recent advances in nutrition therapy of the patient undergoing elective surgery have focused on greater utilization of the gut, feeding closer to the time of surgery, avoiding extensive bowel preparations or use of nasogastric tubes and drains, and measures to promote and maintain intestinal motility. Failure to have protocols in place for delivery of enteral nutrition (EN) through the perioper...
متن کامل[Croatian guidelines for perioperative enteral nutrition of surgical patients].
Nutritional status of patients significantly affects the outcome of surgical treatment, whether it's about being obese or malnutrition with loss of muscle mass. Inadequate nutritional support in the perioperative period compromises surgical procedures even in patients who are adequately nourished. In this paper, particular attention was paid to malnourished patients, and their incidence in popu...
متن کاملEnteral and Parenteral Nutrition in the Perioperative Period: State of the Art
Nutritional support of surgical and critically ill patients has undergone significant advances since 1936 when Studley demonstrated a direct relationship between pre-operative weight loss and operative mortality. The advent of total parenteral nutrition followed by the extraordinary progress in parenteral and enteral feedings, in addition to the increased knowledge of cellular biology and bioch...
متن کاملAmerican Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on Nutrition Screening and Therapy Within a Surgical Enhanced Recovery Pathway.
Perioperative malnutrition has proven to be challenging to define, diagnose, and treat. Despite these challenges, it is well known that suboptimal nutritional status is a strong independent predictor of poor postoperative outcomes. Although perioperative caregivers consistently express recognition of the importance of nutrition screening and optimization in the perioperative period, implementat...
متن کامل