2019, Number 2
<< Back Next >>
Revista Cubana de Anestesiología y Reanimación 2019; 18 (2)
Enhances recovery protocol in heart surgery: paramount aspects of perioperative nutritional evaluation and support
Agüero MMO
Language: Spanish
References: 20
Page: 1-10
PDF size: 146.78 Kb.
ABSTRACT
Introduction: Enhanced or fast-track recovery protocols, nowadays, constitute a fundamental link when it comes to improving the quality of perioperative care provided to patients for reducing the incidence of complications. A fundamental section in them is related to the evaluation, optimization and timely nutritional support.
Objective: To demonstrate the importance of adequate evaluation and timely perioperative nutritional support in patients scheduled for cardiac surgical procedures.
Methods: We carried out a review of the literature related to the subject.
Development: Malnutrition is one of the most important problems, as evidenced by a series of publications dating from 1976 to date. The evaluation of nutritional status must be carried out throughout the perioperative period. In its different phases, a series of risk factors are described and, when present, require the introduction of early and intensive parenteral and/or enteral nutritional support.
Conclusions: The evaluation and preoperative optimization of the nutritional status is vital for an adequate perioperative evolution of patients, so it must be an indispensable part of the anesthesiological consultation. Nutritional support should be established early once the risk indicators have been identified, in order to reduce the incidence of perioperative complications.
REFERENCES
Chermesh I, Hajos J, Mashiach T, Bozhko M, Shani L, Nir RR. Malnutrition in cardiac surgery: food for thought. Eur J Prev Cardiol. 2014;21:475-83.
Umezawa M, Flordelis L, Pérez-Vela JL, Colino GM, Torres SE, Moroto R. Early enteral nutrition in adults receiving venoarterial extracorporeal membrane oxigention. J PEN. 2013;37(2):281-4.
Flordelis L, Pérez Vela JL, Umezawa M, Torres SE, Colino GM, Moroto R. Early enteral nutrition in patients with hemodynamic failure following cardiac surgery. J PEN. 2015;39(2):154-62.
Rahman A, Hasan RM, Aguarwala R, Martin C, Day AG, Heyland DK. Identifying critically ill patient who will benefit most from nutritional therapy : further validation of the modify NUTRIC risk assessment tool. Clin Nutr. 2016;35:158-62.
Visser M, Niesse HW, Kok WE, Cocchieri R, Wisselink W, Van Leeuwen PA, et al. Nutrition before and during surgery and the inflammatory response of the heart: a randomized controlled trial. J Nutr Metab. 2015;123:158-68.
Stoppe CH, Goetzenich A, Whitman G, Ohkuma R, Bronw T, Hatzakorizian R. Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery. Crit Care. 2017 [citado 3/03/2018];21:131. Disponible en: https://doi.org/10.1186%2Fs13054-017-1690-5
Rahman A, Aguarwala R, Martin C, Nagpal D, Teitelbaum M, Heyland DK. Nutrition therapy in critically ill patients fallowing cardiac surgery: defining and improving practice. J Parenter Enter Nutr. 2017;41(7):1188-94.
Aarts MA, Rotstein O, Pearsall EA, Victor JC, Okrainec A. Recuperación mejorada después de la cirugía. Ann Surg. 2018;267(6):992-7.
Indraratna K. A proposed strategy for enhanced recovery after cardiac surgery. Surgery Curr Res. 2017 [citado 11/01/2018];7(5):C1-032. Disponible en: https://doi.org/10.4172%2F2161-1076-C1-032
Hardman G, Bose A, Saunders A, Walker A H. Enhanced recovery in cardiac surgery. J Cardiothorac Surg. 2015 [citado 11/01/2018];10(Suppl 1):A75. Disponible en: http://www.cardithoracicsurgery.org/content/10/S1/A75
Tham YC, Tan Z, Tam AL, Sharad SS, Sin KY, Ong KK. Improving on fast-track protocol for post cardiac surgery patients. J Cardiothorac Surg. 2015 [citado 11/01/2018];10(Suppl 1):A330. Disponible en: https://doi.org/10.1186%2F1749-8090-10- S1-A330
Ranucci M. Anesthesia and cardiopulmonary bypass aspects of fast track. Eur Heart J Suppl. 2017 [citado 7/01/2018];19(suppl A, 1):A15–7. Disponible en: http://doi.org/10.1093/eurheart/suw054
Yang L, Kaye AD, Venakatesh AG, Green MS, Asgarian CD, Luedi MM, et al. Enhanced recovery after cardiac surgery: An update on clinical implicactions. Int Anesth Clin. 2017 [citado 11/01/2018];55(4):148-62. Disponible en: https://doi.org/10.1097%2FAIA0000000000000168
Arai Y, Kimura T, Takahashi Y, Hashimoto T, Arakawa M, Okamura H. Preoperative nutritional status is associated with progression of postoperative cardiac rehabilitation in patients undergoing cardiovascular surgery. Gen Thorac Cardiovasc Surg. 2016 [citado 9/03/2018]. Disponible en: https://doi.org/10.1007%2Fs11748-018-0961-7
Bayir H, Yildiz I. Malnutrition and adverse effects in cardiac surgery. Thorac Cardiovasc Surg. 2015 [citado 1/03/2016];64(4):349-50. Disponible en: https://doi.org/10.1055%2Fs-0035-1548999
Hill A, Goetzenich A, Marx G, Stoppe C. Role of nutrition support in cardiac surgery patients. An overview. Anaesthesiol Intensiv Notfallmed Schmerzther. 2018 [citado 9/03/2018];53(6):466-79. Disponible en: https://doi.org/10.1055%2Fs-0043-121440
Brown JK, Singh K, Dumitru R, Chan E, Kim MP. The benefits of enhanced recovery after surgery programs and their application in cardiothoracic surgery. Methodist Debakey Cardiovasc J. 2018 [citado 26/09/2018];14(2):77-88. Disponible en: https://doi.org/10.14797%2Fmdcj-14-2-77
Ogawa M, Izawa KP, Satomi-Kobayashi S, Tsuboi Y, Komaki K, Gotake. Effects of postoperative dietary intake on functional recovery of patients undergoing cardiac surgery. Nutr Metab Cardiovasc Dis. 2018 [citado 26/12/2018] Disponible en: https://doi.org/10.1016/j.numecd.2018.10.004
Schulte K, Antoniou A, Attia R. Does fast-track recovery improve outcomes in adult cardiac surgery? Ann Cardiol Vasc Med. 2018 [citado 26/09/2018];3:1012. Disponible en: http://meddocsonline.org
Hill A, Nesterova E, Lomivorotov V, Efremov S, Goetzenich A, Benstoem C. Current Evidence about Nutrition Support in Cardiac Surgery Patients-What Do We Know? Nutrients. 2018 [citado 1/04/2019];10(5):597. Disponible en: https://doi.org/10.3390/nu10050597