Key result
Enhanced recovery protocols and nutritional guidelines improve nutritional status in at-risk surgical patients.
Why the study?
Malnutrition and deteriorating nutritional status are linked to adverse outcomes in patients undergoing elective cardiovascular and thoracic surgery, making recognition of contributory factors and complications important.
Preoperative malnutrition screening and optimization using enhanced recovery protocols are recommended to improve outcomes in patients undergoing major cardiothoracic surgery.
Answers are grounded in this paper and cite their sources.
Potential benefits of nutritional optimization in cardiothoracic surgery merit evaluation; leaves open confirmation via prospective trials.
In patients undergoing elective cardiovascular and thoracic surgery, malnutrition and the deterioration of nutritional status are associated with negative outcomes. Recognition of the contributory factors and the complications stemming from surgical stress is important for the prevention and management of these patients. We have reviewed the literature available and focused on the nutritional and metabolic aspects affecting surgical patients, with emphasis on the recommendations of enhanced recovery protocols. The implementation of enhanced recovery protocols and nutritional support guidelines focusing on the surgical patient as part of a multidisciplinary approach would improve the nutritional status of surgical patients at risk for negative outcomes.
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Leon et al. (2023) conducted a review in Major surgical intervention. Nutritional optimization and Enhanced Recovery After Surgery (ERAS) protocols was evaluated. Implementation of enhanced recovery protocols and nutritional support guidelines improves the nutritional status of surgical patients at risk for negative outcomes.
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