Nutritional Considerations in Adult Cardiothoracic Surgical Patients

被引:27
|
作者
Sanchez, Juan A. [1 ,2 ]
Sanchez, Lise L. [3 ]
Dudrick, Stanley J. [1 ,4 ]
机构
[1] St Marys Hosp Yale Affiliate, Dept Surg, Waterbury, CT 06706 USA
[2] Univ Connecticut Hlth Ctr, Dept Surg, Farmington, CT 06032 USA
[3] Bridgeport Hosp, Dept Food & Nutr, Bridgeport, CT 06610 USA
[4] Yale Univ Sch Med, Dept Surg, New Haven, CT 06510 USA
关键词
Cardiac surgery; Thoracic surgery; Nutrition; Chronic heart failure; Cardiac cachexia; Malnutrition risk factors; CORONARY-ARTERY-BYPASS; CHRONIC HEART-FAILURE; TUMOR-NECROSIS-FACTOR; BODY-MASS INDEX; FAILING HEART; AMINO-ACIDS; CARDIAC-RESYNCHRONIZATION; OPERATIVE MORTALITY; ELDERLY-PATIENTS; FATTY-ACID;
D O I
10.1016/j.suc.2011.06.001
中图分类号
R61 [外科手术学];
学科分类号
摘要
The importance of the preoperative nutritional status of cardiothoracic surgical patients in determining outcomes is demonstrated and discussed. Demographic, anthropometric, and biochemical changes in patients undergoing cardiothoracic surgery increase the importance of identifying those at risk for postoperative complications resulting from malnutrition. The interrelationships of chronic heart failure, cardiac cachexia, nutritional status, and nutritional support are identified and emphasized. The complexities of myocardial energetics and metabolism are outlined together with the nutrient needs for patients undergoing cardiac, pulmonary, or other intrathoracic operative procedures.
引用
收藏
页码:857 / +
页数:20
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