Pre-operative nutrition and the elective surgical patient: why, how and what?

C Gillis; P E Wischmeyer

doi:10.1111/anae.14506

Pre-operative nutrition and the elective surgical patient: why, how and what?

Anaesthesia. 2019 Jan:74 Suppl 1:27-35. doi: 10.1111/anae.14506.

Authors

C Gillis¹, P E Wischmeyer²

Affiliations

¹ Peri-Operative Program, McGill University, Montreal, QC, Canada.
² Director of Peri-operative Research, Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.

PMID: 30604414
DOI: 10.1111/anae.14506

Abstract

Pre-operative nutrition therapy is increasingly recognised as an essential component of surgical care. The present review has been formatted using Simon Sinek's Golden Circle approach to explain 'why' avoiding pre-operative malnutrition and supporting protein anabolism are important goals for the elective surgical patient, 'how' peri-operative malnutrition develops leading in part to a requirement for pre-operative anabolic preparation, and 'what' can be done to avoid pre-operative malnutrition and support anabolism for optimal recovery.

Keywords: nutrition prehabilitation; peri-operative nutrition; pre-surgery optimisation.

Publication types

Review

MeSH terms

Elective Surgical Procedures*
Humans
Nutritional Status*
Preoperative Care / methods*

Grants and funding

R34 HL109369/NIH NHLBI/International