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Acta medica Croatica : Časopis Akademije medicinskih znanosti Hrvatske, Vol. 72 No. 1, 2018.

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PREOPERATIVE NUTRITION IN SURGICAL PATIENTS

ANITA MISIR ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
DANIELA BANDIĆ PAVLOVIĆ ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
DINKO TONKOVIĆ ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
MARTINA MIKLIĆ BUBLIĆ ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
TAJANA ZAH BOGOVIĆ ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia
SLOBODAN MIHALJEVIĆ ; Zagreb University Hospital Center, University Department of Anesthesiology, Resuscitation and Intensive Care, Zagreb, Croatia

Full text: croatian pdf 73 Kb

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Abstract

Preoperative fasting, nihil per os after midnight on the day of surgery is considered unnecessary and obsolete. Guidelines encourage taking clear fl uid up to 2 hours before surgery, without fear of aspiration and other complications. Fasting together with surgery, which represents stress for the body, leads to catabolic state, prolongs patient recovery, and causes postoperative complications. The aim of preoperative nutrition and avoiding fasting is to maintain protein balance, muscle and immune function, and to facilitate postoperative recovery. On admission to the hospital, most patients are malnourished, including even 40% of patients undergoing gastrointestinal surgery. Preoperative malnutrition is an independent risk factor for postoperative complications and prolonged length of stay in the hospital. Preoperative screening, assessment of nutritional status, and appropriate preoperative nutrition are mandatory in surgical patients. According to the European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines, in severely malnourished surgical patients, preoperative
nutritional support should be used even if the operation must be delayed. Numerous studies have demonstrated favorable impact of preoperative nutrition, posing no risk of aspiration and other complications. ESPEN guidelines recommend preoperative use of carbohydrate and immunonutrients. Preoperative nutrition should become standard part of the care protocol for surgical patients.

Keywords

malnutrition; preoperative fasting; preoperative nutrition; immunonutrients; operation

Hrčak ID:

197907

URI

https://hrcak.srce.hr/197907

Publication date:

3.4.2018.

Article data in other languages: croatian

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