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An evidence-based approach to perioperative nutrition support in the elective surgery patient.

Publication ,  Journal Article
Miller, KR; Wischmeyer, PE; Taylor, B; McClave, SA
Published in: JPEN J Parenter Enteral Nutr
September 2013

In surgical practice, great attention is given to the perioperative management of the elective surgical patient with regard to surgical planning, stratification of cardiopulmonary risk, and postoperative assessment for complication. However, growing evidence supports the beneficial role for implementation of a consistent and literature-based approach to perioperative nutrition therapy. Determining nutrition risk should be a routine component of the preoperative evaluation. As with the above issues, this concept begins with the clinician's first visit with the patient as risk is assessed and the severity of the surgical insult considered. If the patient is an appropriate candidate for benefit from preoperative support, a plan for initiation and reassessment should be implemented. Once appropriate nutrition end points have been achieved, special consideration should be given to beneficial practices the immediate day preceding surgery that may better prepare the patient for the intervention from a metabolic standpoint. In the operating room, consideration should be given to the potential placement of enteral access during the index operation as well as judicious and targeted intraoperative resuscitation. Immediately following the intervention, adequate resuscitation and glycemic control are key concepts, as is an evidence-based approach to the early advancement of an enteral/oral diet in the postoperative patient. Through the implementation of perioperative nutrition therapy plans in the elective surgery setting, outcomes can be improved.

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Published In

JPEN J Parenter Enteral Nutr

DOI

EISSN

1941-2444

Publication Date

September 2013

Volume

37

Issue

5 Suppl

Start / End Page

39S / 50S

Location

United States

Related Subject Headings

  • Postoperative Period
  • Postoperative Complications
  • Perioperative Care
  • Nutritional Support
  • Nutritional Status
  • Nutrition & Dietetics
  • Humans
  • Evidence-Based Medicine
  • Endpoint Determination
  • Elective Surgical Procedures
 

Citation

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Miller, K. R., Wischmeyer, P. E., Taylor, B., & McClave, S. A. (2013). An evidence-based approach to perioperative nutrition support in the elective surgery patient. JPEN J Parenter Enteral Nutr, 37(5 Suppl), 39S-50S. https://doi.org/10.1177/0148607113493928
Miller, Keith R., Paul E. Wischmeyer, Beth Taylor, and Stephen A. McClave. “An evidence-based approach to perioperative nutrition support in the elective surgery patient.JPEN J Parenter Enteral Nutr 37, no. 5 Suppl (September 2013): 39S-50S. https://doi.org/10.1177/0148607113493928.
Miller KR, Wischmeyer PE, Taylor B, McClave SA. An evidence-based approach to perioperative nutrition support in the elective surgery patient. JPEN J Parenter Enteral Nutr. 2013 Sep;37(5 Suppl):39S-50S.
Miller, Keith R., et al. “An evidence-based approach to perioperative nutrition support in the elective surgery patient.JPEN J Parenter Enteral Nutr, vol. 37, no. 5 Suppl, Sept. 2013, pp. 39S-50S. Pubmed, doi:10.1177/0148607113493928.
Miller KR, Wischmeyer PE, Taylor B, McClave SA. An evidence-based approach to perioperative nutrition support in the elective surgery patient. JPEN J Parenter Enteral Nutr. 2013 Sep;37(5 Suppl):39S-50S.
Journal cover image

Published In

JPEN J Parenter Enteral Nutr

DOI

EISSN

1941-2444

Publication Date

September 2013

Volume

37

Issue

5 Suppl

Start / End Page

39S / 50S

Location

United States

Related Subject Headings

  • Postoperative Period
  • Postoperative Complications
  • Perioperative Care
  • Nutritional Support
  • Nutritional Status
  • Nutrition & Dietetics
  • Humans
  • Evidence-Based Medicine
  • Endpoint Determination
  • Elective Surgical Procedures