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
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2011年 / 91卷 / 04期
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
相关论文
共 112 条
  • [91] More than bricks and mortar: Comments on protein and amino acid metabolism in the heart
    Taetrneyer, Heinrich
    Harinstein, Matthew E.
    Gheorghiade, Mihai
    [J]. AMERICAN JOURNAL OF CARDIOLOGY, 2008, 101 (11A) : 3E - 7E
  • [92] Effect of preoperative oral immune-enhancing nutritional supplement on patients at high risk of infection after cardiac surgery:: a randomised placebo-controlled trial
    Tepaske, R
    Velthuis, HT
    Oudemans-van Straaten, HM
    Heisterkamp, SH
    van Deventer, SJH
    Ince, C
    Eÿsman, L
    Kesecioglu, J
    [J]. LANCET, 2001, 358 (9283) : 696 - 701
  • [93] Perioperative amino acid infusion improves recovery and shortens the duration of hospitalization after off-pump coronary artery bypass grafting
    Umenai, Takako
    Nakajima, Yasufumi
    Sessler, Daniel I.
    Taniguchi, Satoshi
    Yaku, Hitoshi
    Mizobe, Toshiki
    [J]. ANESTHESIA AND ANALGESIA, 2006, 103 (06) : 1386 - 1393
  • [94] Aspartate and glutamate-enriched cardioplegia in left ventricular dysfunction
    Uyar, I
    Mansuroglu, D
    Kirali, K
    Erentug, V
    Bozbuga, NU
    Uysal, G
    Yakut, C
    [J]. JOURNAL OF CARDIAC SURGERY, 2005, 20 (04) : 337 - 344
  • [95] Metabolic remodelling of the failing heart: the cardiac burn-out syndrome?
    van Bilsen, M
    Smeets, PJH
    Gilde, AJ
    van der Vusse, GJ
    [J]. CARDIOVASCULAR RESEARCH, 2004, 61 (02) : 218 - 226
  • [96] Preoperative unintended weight loss and low body mass index in relation to complications and length of stay after cardiac surgery
    van Venrooij, Lenny M. W.
    de Vos, Rien
    Borgmeijer-Hoelen, Mieke M. M. J.
    Haaring, Cees
    de Mol, Bas A. J. M.
    [J]. AMERICAN JOURNAL OF CLINICAL NUTRITION, 2008, 87 (06) : 1656 - 1661
  • [97] Vega J D, 1990, ASAIO Trans, V36, pM555
  • [98] VENTURACLAPIER R, 2004, J PHYSL, V556, P1
  • [99] The importance of myocardial amino acids during ischemia and reperfusion in dilated left ventricle of patients with degenerative mitral valve disease
    Venturini, A.
    Ascione, R.
    Lin, H.
    Polesel, E.
    Angelini, G. D.
    Suleiman, M. -S.
    [J]. MOLECULAR AND CELLULAR BIOCHEMISTRY, 2009, 330 (1-2) : 63 - 70
  • [100] Specific changes in skeletal muscle myosin heavy chain composition in cardiac failure: Differences compared with disuse atrophy as assessed on microbiopsies by high resolution electrophoresis
    Vescovo, G
    Serafini, F
    Facchin, L
    Tenderini, P
    Carraro, U
    DallaLibera, L
    Catani, C
    Ambrosio, GB
    [J]. HEART, 1996, 76 (04) : 337 - 343
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