Nutritional Intervention in Surgery

Česká verzia

Authors: I. Satinský
Authors place of work: Mezioborová jednotka intenzivní péče, Nemocnice s poliklinikou Havířov, primář: MUDr. Igor Satinský, Ph. D.
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 7, s. 409-412.
Category: Monothematic special - Original

Summary

Perioperative nutritional intervention is an integral component of preoperative preperation and postoperative therapeutic strategy in surgical patients with undernutrition or in patients at severe nutritional risk. The guidelines based on clinical trials highlight the risk groups with benefit of artificial nutrition. The guidelines get over a lot of dogma from past decades. The introduction of these recommendations into practice reduces postoperative complications mainly in patients after major surgery, in patients with polytrauma, or in critically ill patients. The emphasis is put on shortening of preoperative starvation and on early postoperative enteral or peroral feeding.

Key words:
perioperative nutrition – enteral nutrition – parenteral nutrition – guidelines

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