创伤和紧急普通手术患者的营养支持:您需要知道的
Jennifer L Hartwell1, David C Evans, Matthew J Martin
1From the Division of Acute Care Surgery, Department of Surgery (J.L.H.), University of Kansas Medical Center, Kansas Center, Kansas; Department of Surgery (D.C.E.), Ohio University, OhioHealth Grant Medical Center, Columbus, Ohio; and Division of Trauma and Surgical Critical Care (M.J.M.), Los Angeles County + USC Medical Center, Los Angeles, California.
营养支持改善了手术患者的治疗结果. 细致的营养管理,而不仅仅是早期或增加的养,对于复杂创伤和紧急手术患者来说至关重要,以减少并发症和改善康复.
科学领域:
- 手术营养是指手术营养.
- 关键护理医学 关键护理医学
- 创伤外科 手术 创伤外科
背景情况:
- 营养优化有利于选择性手术患者,减少住院和并发症.
- 创伤和紧急手术患者缺乏手术前优化,导致结果更差.
- 弱势群体受益于精细的营养支持,尽管时间有限.
研究的目的:
- 审查复杂创伤和紧急普通外科手术患者的营养管理策略.
- 要强调量身定制的营养支持的重要性,而不仅仅是"多吃,早吃".
主要方法:
- 文学综合. 文学综合.
- 专家意见. 专家意见.
- 第五级证据.
主要成果:
- 营养优化与减少住院和重症监护室停留时间有关.
- 在创伤/急诊手术中营养支持不足与更长的停留时间,非家庭出院和更高的死亡率相关.
- 最佳的营养支持需要仔细评估,提供,时间,路线和监测.
结论:
- 精心的营养支持显著有利于创伤和紧急手术患者.
- 在这些关键情况下,有效的营养管理是复杂的和个性化的.
- 需要进一步的研究来完善高风险手术群体的营养干预措施.
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