Next Article in Journal
The Effect of Lean-Seafood and Non-Seafood Diets on Fasting and Postprandial Serum Metabolites and Lipid Species: Results from a Randomized Crossover Intervention Study in Healthy Adults
Previous Article in Journal
Kidney Response to the Spectrum of Diet-Induced Acid Stress
Article Menu
Issue 5 (May) cover image

Export Article

Open AccessReview
Nutrients 2018, 10(5), 597; https://doi.org/10.3390/nu10050597

Current Evidence about Nutrition Support in Cardiac Surgery Patients—What Do We Know?

1
Department of Intensive Care Medicine, University Hospital RWTH, D-52074 Aachen, Germany
2
3CARE—Cardiovascular Critical Care & Anesthesia Evaluation and Research, D-52074 Aachen, Germany
3
Department of Anesthesiology and Intensive Care Medicine, National Pirogov Medical Center, 105203 Moscow, Russia
4
Department of Anesthesiology and Intensive Care Medicine, E. Meshalkin National Medical Research Center, 630055 Novosibirsk, Russia
5
Department of Thoracic, Cardiac and Vascular Surgery, University Hospital RWTH, D-52074 Aachen, Germany
6
Department of Medicine, School of Health Sciences, 54124 Thessaloniki, Greece
7
Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, ON K7L 2V7, Canada
These authors contributed equally to this work.
*
Authors to whom correspondence should be addressed.
Received: 6 April 2018 / Revised: 3 May 2018 / Accepted: 8 May 2018 / Published: 11 May 2018
Full-Text   |   PDF [2715 KB, uploaded 11 May 2018]   |  

Abstract

Nutrition support is increasingly recognized as a clinically relevant aspect of the intensive care treatment of cardiac surgery patients. However, evidence from adequate large-scale studies evaluating its clinical significance for patients’ mid- to long-term outcome remains sparse. Considering nutrition support as a key component in the perioperative treatment of these critically ill patients led us to review and discuss our understanding of the metabolic response to the inflammatory burst induced by cardiac surgery. In addition, we discuss how to identify patients who may benefit from nutrition therapy, when to start nutritional interventions, present evidence about the use of enteral and parenteral nutrition and the potential role of pharmaconutrition in cardiac surgery patients. Although the clinical setting of cardiac surgery provides advantages due to its scheduled insult and predictable inflammatory response, researchers and clinicians face lack of evidence and several limitations in the clinical routine, which are critically considered and discussed in this paper. View Full-Text
Keywords: cardiac surgery; cardiopulmonary bypass; systemic inflammatory response; nutrition risk stratification; underfeeding; postoperative nutritional management; supplemental parenteral nutrition; enteral nutrition; pharmaconutrition cardiac surgery; cardiopulmonary bypass; systemic inflammatory response; nutrition risk stratification; underfeeding; postoperative nutritional management; supplemental parenteral nutrition; enteral nutrition; pharmaconutrition
Figures

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
SciFeed

Share & Cite This Article

MDPI and ACS Style

Hill, A.; Nesterova, E.; Lomivorotov, V.; Efremov, S.; Goetzenich, A.; Benstoem, C.; Zamyatin, M.; Chourdakis, M.; Heyland, D.; Stoppe, C. Current Evidence about Nutrition Support in Cardiac Surgery Patients—What Do We Know? Nutrients 2018, 10, 597.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics

1

Comments

[Return to top]
Nutrients EISSN 2072-6643 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top