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Related Experiment Videos

[Artificial nutrition in emergency surgery].

R Manieri, M R Rubini, F Centulio

    Annali Italiani Di Chirurgia
    |November 1, 1991
    PubMed
    Summary

    Artificial feeding in emergency surgery should be used judiciously. Key indicators include significant blood loss, prolonged operation duration, and expected inability to eat naturally post-surgery.

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    Area of Science:

    • Surgical Nutrition
    • Critical Care Medicine

    Background:

    • Artificial feeding is a post-operative treatment in emergency surgery.
    • Establishing precise indications is crucial to avoid overuse and limitations.

    Purpose of the Study:

    • To define criteria for implementing artificial feeding in emergency surgery.
    • To identify simple, valuable parameters for patient assessment.

    Main Methods:

    • Evaluating patient condition, operation duration, and blood loss.
    • Assessing inflammatory processes and likelihood of natural feeding post-operation.
    • Utilizing clinical examination, patient history, weight, hematocrit, albumin, hemoglobin, lymphocytes, and skin tests.

    Main Results:

    • Artificial feeding is recommended if blood loss exceeds 1000 ml or operation duration is over 3 hours.
    • Consideration of significant inflammatory processes and anticipated inability to achieve natural feeding for over 7-8 days post-operatively.
    • Patient criticality is assessed using a combination of clinical and laboratory parameters.

    Conclusions:

    • Artificial feeding in emergency surgery requires careful consideration of specific operative and patient factors.
    • Simple, easily measurable parameters can guide the decision-making process for artificial nutrition.
    • Judicious use of artificial feeding can optimize outcomes in critical surgical patients.

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