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Nutrition périopératoire : protocoles de soins
- Source :
-
Nutrition Clinique et Métabolisme . Dec2010, Vol. 24 Issue 4, p210-216. 7p. - Publication Year :
- 2010
-
Abstract
- Abstract: Based on texts written by experts, the objective of this paper is to propose a practical approach to nutrition for clinicians, according to the nutritional status of patients and the evaluation of surgical risk. Any patient with a nutritional grade greater than or equal to 2 should benefit from nutritional support. Indeed, current data confirm that preoperative and early nutritional support in surgery at risk can reduce significantly postoperative morbidity for patients with non-malnourished (immunonutrition in cancer surgery GI), and the morbidity and mortality in malnourished patients (enteral nutrition when possible). A preoperative oral intake is recommended 2 to 3hours before elective surgery for clear fluids and 6 hours for a light meal. Moreover, a preoperative oral intake of carbohydrates (maltodextrin 12.5%) is recommended (except in diabetic patients). Postoperatively, early oral feeding (within 24hours) is recommended in the absence of cons to surgery. Glutamine is recommended in case of postoperative complications. [Copyright &y& Elsevier]
Details
- Language :
- French
- ISSN :
- 09850562
- Volume :
- 24
- Issue :
- 4
- Database :
- Academic Search Index
- Journal :
- Nutrition Clinique et Métabolisme
- Publication Type :
- Academic Journal
- Accession number :
- 56481058
- Full Text :
- https://doi.org/10.1016/j.nupar.2010.10.008