NUTRITIONAL SUPPORT IN THE POSTOPERATIVE PERIOD - 02/09/11

Doi : 10.1016/S0025-7125(05)70376-X

Leon G. Rosenkranz, MD ^{^{*
Department of Medicine, Lutheran Medical Center; Department of Medicine, State University of New York Health Sciences Center; and Victory Memorial Hospital, Brooklyn, New York}}

Resumen

Nutritional support is used frequently in the management of postoperative surgical patients. Malnourished patients do poorly in surgery.^{11 Howard L. Enteral and parenteral nutrition therapy Harrison’s Principles of Internal Medicine New York: McGraw-Hill (1998).
472-480

Haga clic aquí para ir a la sección de Referencias} It would seem intuitive that nutritional support should lead to measurable improvement in outcome, but studies attempting to prove this hypothesis have yielded conflicting results.^{8 Heyland D.K. Nutritional support in the critically ill patient Crit Care Clin 1998 ; 14 : 423-440 [cross-ref]

Haga clic aquí para ir a la sección de Referencias, 9 Heyland D.K., MacDonald S., Keefe L. , y al. Total parenteral nutrition in the critically ill patient JAMA 1998 ; 280 : 2013-2019 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} Nevertheless, hyperalimentation is given to many critically ill surgical patients. This article describes a practical approach for the consultant asked to manage nutritional support of the surgical patient.