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PREOPERATIVE NUTRITION IN SURGICAL PATIENTS

ANITA MISIR ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
DANIELA BANDIĆ PAVLOVIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
DINKO TONKOVIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
MARTINA MIKLIĆ BUBLIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
TAJANA ZAH BOGOVIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska
SLOBODAN MIHALJEVIĆ ; Klinički bolnički centar Zagreb, Klinika za anesteziologiju, reanimatologiju i intenzivno liječenje, Zagreb, Hrvatska

Sažetak

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.

Ključne riječi

malnutrition; preoperative fasting; preoperative nutrition; immunonutrients; operation

Hrčak ID:

197907

URI

https://hrcak.srce.hr/197907

Datum izdavanja:

3.4.2018.

Podaci na drugim jezicima: hrvatski

Posjeta: 8.361 *