Intended for any healthcare professional working with surgical patients, including medical students, residents, surgeons and internists, nurses, dieticians, pharmacists, and physical therapists, The Practical Handbook of Perioperative Metabolic and Nutritional Care focuses on topics from the history of surgery and metabolism, to organic response to stress. Based on clinical processes, the author explores screening, assessment, and the impact of nutritional status on outcomes, in addition to investigating nutritional requirements, including macronutrients and micronutrients. Chapters examine wound healing as well as metabolic and nutritional surgical preconditioning, including coverage of preoperative counseling, preoperative nutrition, and preoperative fasting. Physical exercise is addressed, as well as nutritional therapy in the form of oral supplements, and enteral and parenteral approaches. Additional topics explored include nutrition therapy complications and immunomodulatory nutrients, pro, pre and symbiotics, postoperative oral, enteral and parenteral nutrition, enteral access, vascular access, fluid therapy, and more. With up-to-date information, practical and cost-effective data, this resource is critical for translating theory to practice.
1. Introduction - p. xxiii 2. 1. History of surgery, metabolism, and nutrition therapy - p. 1 3. 2. Organic response to stress - p. 11 4. 3. Nutritional status and requirements - p. 27 5. 4. Wound healing - p. 47 6. 5. Metabolic and nutritional surgical preconditioning - p. 57 7. 6. Bowel preparation - p. 71 8. 7. Rational for the use of antibiotics - p. 81 9. 8. Postoperative nutrition therapy - p. 91 10. 9. Nutrition therapy complications - p. 105 11. 10. Immunonutrition - p. 123 12. 11. Pro-, pre-, and symbiotics - p. 137 13. 12. Exercise therapy - p. 147 14. 13. Catheters - p. 157 15. 14. Fluid and electrolyte therapy - p. 169 16. 15. Acute pain management - p. 177 17. 16. Antiemetic agents and motility stimulant medications - p. 187 18. 17. Other multimodal strategies - p. 201 19. 18. Music in the perioperative period - p. 211 20. 19. The special patient - p. 219 21. 20. Interdisciplinary teams - p. 229 22. 21. Quality, safety, and performance improvement - p. 239 23. 22. Clinical and economic impact of protocols - p. 251 24. 23. Knowledge translation - p. 259 25. 24. Patient empowerment - p. 269 26. 25. Ethical considerations - p. 279 27. 26. Evidence-based Medicine in surgery - p. 287 28. Index - p. 299
Intended for any healthcare professional working with surgical patients, including medical students, residents, surgeons and internists, nurses, dieticians, pharmacists, and physical therapists, The Practical Handbook of Perioperative Metabolic and Nutritional Care focuses on topics from the history of surgery and metabolism, to organic response to stress. Based on clinical processes, the author explores screening, assessment, and the impact of nutritional status on outcomes, in addition to investigating nutritional requirements, including macronutrients and micronutrients. Chapters examine wound healing as well as metabolic and nutritional surgical preconditioning, including coverage of preoperative counseling, preoperative nutrition, and preoperative fasting. Physical exercise is addressed, as well as nutritional therapy in the form of oral supplements, and enteral and parenteral approaches. Additional topics explored include nutrition therapy complications and immunomodulatory nutrients, pro, pre and symbiotics, postoperative oral, enteral and parenteral nutrition, enteral access, vascular access, fluid therapy, and more. With up-to-date information, practical and cost-effective data, this resource is critical for translating theory to practice.
1. Introduction - p. xxiii 2. 1. History of surgery, metabolism, and nutrition therapy - p. 1 3. 2. Organic response to stress - p. 11 4. 3. Nutritional status and requirements - p. 27 5. 4. Wound healing - p. 47 6. 5. Metabolic and nutritional surgical preconditioning - p. 57 7. 6. Bowel preparation - p. 71 8. 7. Rational for the use of antibiotics - p. 81 9. 8. Postoperative nutrition therapy - p. 91 10. 9. Nutrition therapy complications - p. 105 11. 10. Immunonutrition - p. 123 12. 11. Pro-, pre-, and symbiotics - p. 137 13. 12. Exercise therapy - p. 147 14. 13. Catheters - p. 157 15. 14. Fluid and electrolyte therapy - p. 169 16. 15. Acute pain management - p. 177 17. 16. Antiemetic agents and motility stimulant medications - p. 187 18. 17. Other multimodal strategies - p. 201 19. 18. Music in the perioperative period - p. 211 20. 19. The special patient - p. 219 21. 20. Interdisciplinary teams - p. 229 22. 21. Quality, safety, and performance improvement - p. 239 23. 22. Clinical and economic impact of protocols - p. 251 24. 23. Knowledge translation - p. 259 25. 24. Patient empowerment - p. 269 26. 25. Ethical considerations - p. 279 27. 26. Evidence-based Medicine in surgery - p. 287 28. Index - p. 299
