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A Saline/Bipolar Radiofrequency Energy Device As an Adjunct for Hemostasis in Solid Organ Injury/Trauma
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The surgical/trauma patient.

Arved Weimann1

  • 1Klinik für Allgemein-und Visceralchirurgie, Klinikum St. Georg gGmbH Leipzig, Leipzig, Germany.

World Review of Nutrition and Dietetics
|October 19, 2012
PubMed
Summary
This summary is machine-generated.

Enhanced recovery after surgery protocols require careful perioperative nutritional management, especially for intensive care patients. Early nutritional intervention, including enteral nutrition, is crucial for patients at nutritional risk to reduce morbidity.

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Area of Science:

  • Perioperative Medicine
  • Surgical Nutrition
  • Intensive Care

Background:

  • Enhanced Recovery After Surgery (ERAS) protocols aim to reduce postoperative morbidity and improve recovery.
  • ERAS protocols do not negate the need for essential perioperative nutritional and metabolic care, particularly in intensive care settings.
  • Early identification and preoperative conditioning of nutritionally at-risk patients are vital.

Purpose of the Study:

  • To emphasize the importance of perioperative nutritional and metabolic care within enhanced recovery after surgery protocols.
  • To highlight the necessity of early nutritional support for intensive care patients at nutritional risk.
  • To discuss optimal strategies for initiating and managing nutritional support in high-risk surgical patients.

Main Methods:

  • Review of current literature and clinical practices regarding enhanced recovery after surgery and perioperative nutrition.
  • Emphasis on early detection of nutritional risk and preoperative conditioning.
  • Discussion of enteral and parenteral nutrition strategies, including timing and monitoring for tolerance in the intensive care unit.
  • Consideration of immunomodulating substrates and diets for high-risk surgical patients.

Main Results:

  • Perioperative nutritional and metabolic care remains critical and is not superseded by enhanced recovery after surgery protocols.
  • Early initiation of nutritional support, preferably via the enteral route, is recommended for patients at risk of prolonged inadequate oral intake.
  • Close monitoring of enteral tolerance is necessary when initiating nutrition in the intensive care unit.
  • Immunomodulating diets show benefits in high-risk surgical populations.

Conclusions:

  • Enhanced recovery after surgery requires integrated perioperative nutritional strategies, not just protocol adherence.
  • Proactive nutritional management, including early enteral feeding and monitoring, is essential for optimizing outcomes in intensive care and high-risk surgical patients.
  • Further research may clarify optimal timing for combined enteral and parenteral nutrition, while immunomodulation offers proven benefits.