Liječnički vjesnik, Vol. 136 No. 7-8, 2014.
Professional paper
CROATIAN GUIDELINES FOR PERIOPERATIVE ENTERAL NUTRITION OF SURGICAL PATIENTS
Marko Zelić
Darija Vranešić Bender
Dina Ljubas Kelečić
Željko Župan
Tedi Cicvarić
Branka Maldini
Iva Durut
Velimir Rahelić
Mate Škegro
Mate Majerović
Zdravko Perko
Alan Šustić
Tomislav Madžar
Borna Kovačić
Tihomir Kekez
Željko Krznarić
Abstract
Nutritional status of patients significantly affects the outcome of surgical treatment, whether it’s about being obese or malnutrition with loss of muscle mass. Inadequate nutritional support in the perioperative period compromises surgical procedures even in patients who are adequately nourished. In this paper, particular attention was paid to malnourished patients, and their incidence in population hospitalized in surgical wards can be high up to 30%. Special emphasis was paid to the appropriateness of preoperative fasting and to the acceptance of new knowledge in this area of treatment. The aim of this working group was to make guidelines for perioperative nutritional support with different modalities of enteral nutrition. The development of these guidelines was attended by representatives of Croatian Medical Association: Croatian Society for Digestive Surgery, Croatian Society for Clinical Nutrition, Croatian Society of Surgery, Croatian Society for Endoscopic Surgery, Croatian Trauma Society and the Croatian Society of Anesthesiology and Intensive Care. The guidelines are designed as a set of questions that arise daily in clinical practice when preparing patients for surgery and after the surgical treatment, which relate to the assessment of nutritional status, perioperative nutritional support, duration of preoperative fasting period and the selection of food intake route. Assessment of nutritional status and the use of different modes of enteral nutrition should enter into standard protocols of diagnosis and treatment in the Croatian hospitals.
Keywords
Enteral nutrition; Perioperative care; Nutritional status; Malnutrition; Nutritional support; Fasting; Practice guidelines as topic; Croatia
Hrčak ID:
172613
URI
Publication date:
27.8.2014.
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