Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, 225 E. Chicago Avenue, Box 63, Chicago, IL 60611, USA.
Department of Anesthesiology, Children's Hospital Colorado, Aurora, CO 80045, USA.
Nutrients. 2023 Mar 3;15(5):1270. doi: 10.3390/nu15051270.
Adequate nutrition is an essential factor in healing and immune support in pediatric patients undergoing surgery, but its importance in this setting is not consistently recognized. Standardized institutional nutrition protocols are rarely available, and some clinicians may be unaware of the importance of assessing and optimizing nutritional status. Moreover, some clinicians may be unaware of updated recommendations that call for limited perioperative fasting. Enhanced recovery protocols have been used in adult patients undergoing surgery to ensure consistent attention to nutrition and other support strategies in adult patients before and after surgery, and these are now under evaluation for use in pediatric patients as well. To support better adoption of ideal nutrition delivery, a multidisciplinary panel of experts in the fields of pediatric anesthesiology, surgery, gastroenterology, cardiology, nutrition, and research have gathered and reviewed current evidence and best practices to support nutrition goals in this setting.
充足的营养是接受手术的儿科患者康复和免疫支持的重要因素，但这一重要性在该治疗环境中并未得到一致认可。标准化的机构营养方案很少见，一些临床医生可能没有意识到评估和优化营养状况的重要性。此外，一些临床医生可能不知道最新的建议，即提倡限制围手术期禁食。强化康复方案已在接受手术的成年患者中使用，以确保在手术前后一致关注成年患者的营养和其他支持策略，目前正在评估其在儿科患者中的应用。为了支持更好地采用理想的营养输送方法，一个由小儿麻醉、外科、胃肠病学、心脏病学、营养和研究领域的多学科专家组成的小组已经收集和审查了目前的证据和最佳实践，以支持该环境下的营养目标。
