Hanyang Med Rev.  2011 Nov;31(4):235-239. 10.7599/hmr.2011.31.4.235.

Perioperative Nutritional Management in Cardiac Surgery

• Hong JM

• KMID: 1451835
• DOI: http://doi.org/10.7599/hmr.2011.31.4.235

Abstract

Perioperative nutritional status is an important factor for the prognosis of cardiac surgery. Preoperatively debilitated or cachectic patients (i.e., more than 10% weight loss over 6 months) with decreased albumin level are exceptionally prone to complications, such as infections following surgery. For better support of the perioperative nutritional intake, exact preoperative monitoring of nutritional status and supplement of essential nutritional factors are necessary for cardiac patients. I will describe here the nutritional states assessment and monitoring methods of infants with congenital heart diseases and consider essential nutritional factors in patients with heart disease. For the conditions where enteral nutrition is not possible, postoperative control of blood sugar is important, or special nutritional considerations for heart disease patients is needed. I will discuss the clinical problems related to these conditions and suggest possible methods of improvement for each condition.

Keyword

Heart Diseases; Nutrition Disorders; Nutrition Assessment; Nutrition Therapy

MeSH Terms

Blood Glucose
Child
Enteral Nutrition
Heart Diseases
Humans
Infant
Nutrition Assessment
Nutrition Disorders
Nutrition Therapy
Nutritional Status
Prognosis
Thoracic Surgery
Weight Loss
Blood Glucose