Houston Methodist Hospital, Houston, Texas, US.
Methodist Debakey Cardiovasc J. 2023 Aug 1;19(4):85-96. doi: 10.14797/mdcvj.1248. eCollection 2023.
In patients undergoing elective cardiovascular and thoracic surgery, malnutrition and the deterioration of nutritional status are associated with negative outcomes. Recognition of the contributory factors and the complications stemming from surgical stress is important for the prevention and management of these patients. We have reviewed the literature available and focused on the nutritional and metabolic aspects affecting surgical patients, with emphasis on the recommendations of enhanced recovery protocols. The implementation of enhanced recovery protocols and nutritional support guidelines focusing on the surgical patient as part of a multidisciplinary approach would improve the nutritional status of surgical patients at risk for negative outcomes.
在接受择期心血管和胸外科手术的患者中，营养不良和营养状况恶化与不良结局相关。认识到手术应激引起的促成因素和并发症对于这些患者的预防和管理很重要。我们回顾了现有的文献，并重点关注了影响手术患者的营养和代谢方面，强调了强化康复方案的建议。作为多学科方法的一部分，实施针对手术患者的强化康复方案和营养支持指南将改善有不良结局风险的手术患者的营养状况。
