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Published on: March 12, 2019
[Perioperative nutritional support for surgical patients].
I N Pasechnik1, V Yu Rybintsev1, K M Markelov1
1Central State Medical Academy of the President of the Russian Federation, Moscow, Russia.
This study outlines a perioperative nutritional support algorithm for planned surgeries, emphasizing early intervention to improve patient outcomes. Nutritional screening and enteral feeding, including oral sipping, are key strategies for managing protein-energy disorders.
Area of Science:
- Surgical Care
- Nutritional Science
- Patient Recovery
Background:
- Accelerated Rehabilitation Programs (ARP) are standard for planned surgeries.
- Nutritional insufficiency significantly impacts surgical outcomes.
- Optimizing patient nutritional status is crucial for successful rehabilitation.
Purpose of the Study:
- To present an algorithm for perioperative nutritional support in planned surgical patients.
- To highlight the importance of nutritional status in ARP.
- To describe methods for screening and correcting nutritional deficiencies.
Main Methods:
- Screening for nutritional deficiency.
- Correction of protein-energy disorders.
- Predominant use of enteral nutrition and oral supplemental nutrition (sipping).
Main Results:
- An algorithm for perioperative nutritional support is detailed.
- Enteral nutrient and energy delivery is the primary correction method.
- Oral sipping offers a convenient approach for nutritional correction.
Conclusions:
- Perioperative nutritional support is integral to accelerated surgical rehabilitation.
- Effective nutritional screening and intervention enhance surgical outcomes.
- Enteral nutrition, particularly oral sipping, is vital for managing nutritional status throughout the perioperative period.
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