Year 2015,
Volume: 22 Issue: 4, 274 - 275, 15.12.2015
Abstract
Cerrahi girişim geçiren hastaların tedavi süreçlerinin en kritik dönemi, erken postoperatif bakım dönemidir. Sepsis, travma ve yanıkta en fazla olmak üzere tüm yoğun bakım hastalarında özellikle doku inflamasyonu ve santral sinir sisteminden kaynaklanan yoğun bir stres yanıtı mevcuttur. Bu dönemde etkili ve yeterli bakım verilen hastalarda komplikasyonlar en aza indirilerek, yaşamı tehdit eden boyutlara ulaşılması engellenebilir. Nütrisyon, yaşamın sürdürülebilmesi, büyüme ve gelişmenin sağlanabilmesi için olmazsa olmazlardandır. Enteral beslenme desteği, barsak mukozası ile fonksiyonları üzerine olan yararlı etkileri ve daha ucuz bir yöntem olması nedeniyle son yıllarda tercih edilmektedir. Postoperatif dönemde enteral beslenmenin uygulanması ile yoğun bakım yatış süresinin kısaldığı ve gastrointestinal sistem fonksiyonların daha erken sürede kazanıldığı görülmektedir. Bu yazımızda postoperatif dönemde beslenmenin nasıl olması gerektiğini kısaca değerlendirerek beslenme pratiğine katkıda bulunmak istedik.
Anahtar Kelimeler: Beslenme; YBÜ; Enteral Beslenme.
Keywords
References
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- Ljungqvist O. Guidelines for perioperative care. World J Surg 2013;37(2):239.
- Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with peptic ulcer disease. JAMA 1936;106:458-60.
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- Kwon S, Thompson R, Dellinger P, Yanez D, Farrohki E, Flum D. Importance of perioperative glycemic control in general surgery: a report from the Surgical Care and Outcomes Assessment Program. Ann Surg 2013;257(1):8-14.
- Osland E, Yunus RM, Khan S, Memon MA. Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: a meta-analysis. J Parenter Enteral Nutr 2011;35(4):473-87.
- Doig GS, Heighes PT, Simpson F, Sweetman EA. Early enteral nutrition reduces mortality in trauma patients requiring intensive care: a meta-analysis of randomized controlled trials. Injury 2011;42(1):50-6.
- Martindale RG, McClave SA, Vanek VW, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: executive summary. Crit Care Med 2009;37(5):1757-61.
- Awad S, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of randomized controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr 2013;32(1):34-44.
- Russo N. Perioperative glycemic control. Anesthesiol Clin 2012;30(3):445-66.
- Marr AB, McQuiggan MM, Kozar R, Moore FA. Gastric feeding as an extension of an established enteral nutrition protocol. Nutr Clin Pract 2004;19(5):504-10.
- Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med 1991;325(8):525-32.
- Gustafsson UO, Ljungqvist O. Perioperative nutritional management in digestive tract surgery. Curr Opin Clin Nutr Metab Care 2011;14(5):504-9.
Year 2015,
Volume: 22 Issue: 4, 274 - 275, 15.12.2015
Abstract
References
- Thiele RH, Huffmyer JL, Raphael J. Perioperative morbidity: lessons from recent clinical trials. Curr Opin Crit Care 2012;18(4):358-65.
- Ljungqvist O. Guidelines for perioperative care. World J Surg 2013;37(2):239.
- Studley HO. Percentage of weight loss: a basic indicator of surgical risk in patients with peptic ulcer disease. JAMA 1936;106:458-60.
- Buchleitner AM, Martínez-Alonso M, Hernández M, Solà I, Mauricio D. Perioperative glycaemic control for diabetic patients undergoing surgery. Cochrane Database Syst Rev 2012;9.
- Kwon S, Thompson R, Dellinger P, Yanez D, Farrohki E, Flum D. Importance of perioperative glycemic control in general surgery: a report from the Surgical Care and Outcomes Assessment Program. Ann Surg 2013;257(1):8-14.
- Osland E, Yunus RM, Khan S, Memon MA. Early versus traditional postoperative feeding in patients undergoing resectional gastrointestinal surgery: a meta-analysis. J Parenter Enteral Nutr 2011;35(4):473-87.
- Doig GS, Heighes PT, Simpson F, Sweetman EA. Early enteral nutrition reduces mortality in trauma patients requiring intensive care: a meta-analysis of randomized controlled trials. Injury 2011;42(1):50-6.
- Martindale RG, McClave SA, Vanek VW, et al. Guidelines for the provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition: executive summary. Crit Care Med 2009;37(5):1757-61.
- Awad S, Varadhan KK, Ljungqvist O, Lobo DN. A meta-analysis of randomized controlled trials on preoperative oral carbohydrate treatment in elective surgery. Clin Nutr 2013;32(1):34-44.
- Russo N. Perioperative glycemic control. Anesthesiol Clin 2012;30(3):445-66.
- Marr AB, McQuiggan MM, Kozar R, Moore FA. Gastric feeding as an extension of an established enteral nutrition protocol. Nutr Clin Pract 2004;19(5):504-10.
- Veterans Affairs Total Parenteral Nutrition Cooperative Study Group. Perioperative total parenteral nutrition in surgical patients. N Engl J Med 1991;325(8):525-32.
- Gustafsson UO, Ljungqvist O. Perioperative nutritional management in digestive tract surgery. Curr Opin Clin Nutr Metab Care 2011;14(5):504-9.
There are 13 citations in total.
Details
| Primary Language | Tr |
|---|---|
| Journal Section | Articles |
| Authors | |
| Publication Date | December 15, 2015 |
| Published in Issue | Year 2015 Volume: 22 Issue: 4 |
