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Enhanced recovery nutrition

Enhanced recovery nutrition

Wide application of various Enhanced recovery nutrition eecovery and routine nursing in perioperative Enhanced recovery nutrition of patients with general anesthesia in digestive surgery. Informed and signed consent was obtained from all patients to participate and all patients with CEA were screened for eligibility. Received: April 04, ; Accepted: April 06,


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Enhanced recovery nutrition -

Search Advanced Search. Source: PubMed Current opinion in clinical nutrition and metabolic care 09 01, ;24 5 : Preoperative nutrition care in Enhanced Recovery After Surgery programs: are we missing an opportunity? Lisa Martin, Chelsia Gillis, Olle Ljungqvist. Author Information.

Lisa Martin: Department of Medicine, University of Alberta, Edmonton, Alberta. Chelsia Gillis: Department of Anesthesia, McGill University Health Center, Québec, Canada. Our team works closely with the doctors and dieticians to plan healthy diet menus as per the preference and requirement of the elderly patients.

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Your Name. Your Email. Your Website URL. Save my name, email, and website in this browser for the next time I comment. Published September 21, by Anvayaa. What is the Role of Nutrition in Enhanced Recovery After Surgery — Anvayaa. The data showed that LOS was significantly lower in the ERAS group than in the control group 4.

Additionally, there was also a significant difference in overall cost between the two groups 2. All patients completed the discharge satisfaction survey questionnaire.

The figure below showed the changes and differences in QoL and Mini-mental State Examination MMSE scores between the two groups before surgery, at discharge, and at postoperative month POM 3 Figure 3.

The mean overall satisfaction of patients in the ERAS group at discharge was significantly higher than that of the control group Similarly, there were differences in satisfaction between the two groups, with obvious differences in medical care At discharge, the QoL score of the ERAS group was There were significant differences in grip strength improvement at POM3 between the two groups 5.

However, no remarkable difference between the two groups was noted in the other outcomes relating to the KPS score Detailed patient satisfaction scores according to each module are shown in Table 4. Table 5 showed the postoperative complications. Stroke, as an important complication after CEA, occurred in one patient 2.

Additionally, postoperative nausea and vomiting intensity scale and nausea visual analog scale were performed postoperatively in both groups, but the proportions of patients with mild, moderate, and severe disease varied.

The traditional nutritional regimen includes fasting before surgery, a liquid diet on the first postoperative day, after which the patient gradually transition to a normal diet.

Thus, it can be seen that conventional nutritional support for the patient remains problematic, unsystematic and not fully aligned with clinical care and other perioperative steps. Due to the importance of the perioperative nutritional status of CEA patients, nutritional improvement measures for patients have become diverse and complex 19 , It is of great significance to propose a new and more reasonable perioperative nutritional therapy based on existing mature experiences of medical staff, research literature, and research progress.

Briefly, the nutritional measures combined both EN and PN, with EN as the key factor to improve the measures and the main nutritional mode. Compared with the control group, which adopted a conventional nutritional regimen, the ERAS group had better preoperative mental states, visual field vision, language, body activity, and limb muscle strength.

It is beneficial to the success of the operation, and significantly promotes the postoperative intervention and nursing, as well as the rehabilitation of patients. The results of this study showed that serum albumin decreased in patients undergoing CEA surgery within a short period of admission.

According to the personalized evaluation of patients, the satisfaction of the ERAS group was also much higher than that of the control group.

Indeed, the patients in the ERAS group had better clinical compliance of postoperative follow-up. In recent years, it has been recognized that the gastrointestinal tract is not only an organ of digestion and absorption, but an important immune organ 21 , Based on this, the advantages of EN are not only reflected in the direct absorption and utilization of nutrients through the intestine, more physiological, convenient administration and low cost, but helped to maintain the integrity of intestinal mucosal structure and barrier function 23 , The ESPEN guidelines propose that normal food intake or EN should start early after surgery An analysis was conducted to investigate the relationship between perioperative nutritional intervention, especially preoperative intervention and surgical effect in the ERAS group.

Patients receiving the perioperative nutrition regimen had a shorter hospital stay, faster recovery of intestinal function, and greater patient satisfaction compared with patients in the control group.

Furthermore, immunity was enhanced and there were less postoperative complications compared with the control group. Early preoperative nutrition status was associated with a significant reduction in postoperative overall complications.

According to the experimental results, the extremely low incidence of postoperative complications may be related to long-term preoperative training. This effect was more pronounced in patients who received longer periods of preoperative nutrition.

In addition, their physical condition and mental outlook were better in the early postoperative period than those in the control group. This was mainly reflected in their significantly better physical condition and earlier participation in postoperative exercise recovery, and their compliance and overall satisfaction were better than those in the control group.

In conclusion, we have shown that preoperative nutritional intervention played a key role in the prognosis of patients undergoing surgery. The analysis of the satisfaction test results showed that patients found value in using personalized clinical nursing measures.

Furthermore, important results were through data collation: clinical compliance of the patients such as quitting smoking and drinking, taking medication regularly, and exercising regularly was significantly associated with patient satisfaction. Compared with the control group, no significant difference in the ERAS group was found in regard to satisfaction with clinical nursing.

However, in terms of self-subjective feelings, the survey results showed that the ERAS group had more positive emotions and better expectations for both the near and distant future. This is obviously of great value to the clinical rehabilitation and follow-up treatment of patients.

These predictors could be interpreted as the determinants of patient satisfaction in each group when other factors do not change greatly within the group.

The current study had some limitations. The main weakness of this study was the absence of important nutritional indices, such as calorie needs, energetic needs, protein needs etc.

Advantages were that we used NRS score and preoperative EN before surgery, and we followed the patients nutritional support suggestions after discharge. Furthermore, while our data supported the efficacy and safety of our perioperative nutrition support program, larger multicenter studies are needed to assess its applicability in patients undergoing CEA surgery.

According to our study, perioperative nutrition in ERAS program had a positive effect on postoperative rehabilitation and improved postoperative complications in CEA patients.

The LOS and the cost of hospitalization were, in turn, significantly reduced. Finally, under dedicated nursing care, the mental state and subjective feelings of patients were greatly improved. Further research is needed to demonstrate the effect of clinical nutrition support in a pragmatic manner.

The studies involving human participants were reviewed and approved by the Institutional Human Research and Ethics Committee of Tangdu Hospital.

BL and YQ conducted the study design. Y-QL, X-PQ, and L-WP completed the writing of the manuscript. Later revisions were done by BL, YQ, J-YA, X-WL, and YZ. Y-QL, X-PQ, L-WP, J-YA, X-WL, YZ, CW, XJ, LG, GL, D-LW, and D-CZ participated in the data collection, while data analysis is done by CW, XJ, LG, GL, D-LW, and D-CZ.

All authors contributed to the article and approved the submitted version. This work was supported by the National Natural Science Foundation of China nos. This research received no specific grant from any funding agency in the public, commercial, or non-profit sectors.

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers.

Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

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Carotid artery stenosis: gray-scale and Doppler US diagnosis--Society of Radiologists in ultrasound consensus conference. Kehlet, H, and Wilmore, DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. Ljungqvist, O, Scott, M, and Fearon, KC.

Enhanced recovery after surgery ERAS nutrition protocol during Enhanced recovery nutrition pandemic. Recpvery nutricional fecovery recuperación acelerada después de cirugía durante la pandemia por covid Gabino Cervantes-Guevara 1 2. Alejandro González-Ojeda 3. Clotilde Fuentes-Orozco 3. Sol Ramírez-Ochoa 4 5. Lorena A. Enhanced recovery nutrition ERAS nutritiin benefit the patient as Enhanced recovery nutrition Free radicals and environmental pollutants Enhanced recovery nutrition to be more involved in their own Enhancee, promotes shorter Enhancsd times Enhanced recovery nutrition Enanced discharge from hospital 1, 2, 3. It also Enhanced recovery nutrition the nutfition by aiding nuutrition hospital stays 1, 2, 3, 4hospital acquired infections 5 and nutritio times nutritioh. Prior to surgery, patients require nhtrition nutrition to ensure they are in the best possible condition. The National Institute for Clinical Excellence NICE state that a malnourished individual will have 3 times the number of complications and 4 times the risk of death from the same surgery as a well-nourished patient 6. Pre-operative carbohydrate loading Fasting, typically nil-by-mouth from midnight before surgery was introduced to reduce the risk of pulmonary aspiration. However, the European Society for Parenteral and Enteral Nutrition ESPEN and NICE state that allowing patients to eat up to 6 hours prior to surgery and being able to drink appropriate fluids up to 2 hours before surgery is safe 7, 6enabling the patient to enter surgery in a fed state.

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