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Critical Care Nutrition Support following Cardiac Surgery in the Pediatric and Adult Population—A Review ArticleFunding None declared.
Cardiac surgical patients in the intensive care unit certainly develop complex nutritional issues. Nutrition support is indicated in these subsets of patients and the same may be customized depending on individual patient characteristics. This review article that aims to examine the American Society for Parenteral and Enteral Nutrition guidelines for the use of parenteral and enteral nutrition in pediatric and adult cardiac surgical patients in cardiac critical care/intensive care unit evaluates the evidence related to the use of nutritional screening and nutritional assessment. The goal of this review is to enrich the discussion contained in the clinical guidelines and simplify the guideline statements to provide a platform for cardiac care providers to implement into their daily practice related to nutrition support in postoperative cardiac surgery patients.
Keywordsnutrition - nutritional assessment - cardiac critical care - intensive care - pediatric - adult
All authors contributed equally to the conception/design of the work.
Article published online:
01 June 2022
© 2022. Official Publication of The Simulation Society (TSS), accredited by International Society of Cardiovascular Ultrasound (ISCU). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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- 1 Via MA, Scurlock C, Adams DH, Weiss AJ, Mechanick JI. Impaired postoperative hyperglycemic stress response associated with increased mortality in patients in the cardiothoracic surgery intensive care unit. Endocr Pract 2010; 16 (05) 798-804
- 2 Mehta NM, Skillman HE, Irving SY. et al. Guidelines for the provision and assessment of nutrition support therapy in the pediatric critically ill patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition. JPEN J Parenter Enteral Nutr 2017; 41 (05) 706-742
- 3 Dijkers MP. When the Best Is the Enemy of the Good: The Nature of Research Evidence Used in Systematic Reviews and Guidelines. New York: SEDL; 2009
- 4 Compher C, Bingham AL, McCall M, Patel J, Rice TW, Braunschweig C, McKeever L. Guidelines for the provision of nutrition support therapy in the adult critically ill patient: The American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition 2022 Jan 3
- 5 Weimann A, Braga M, Carli F. et al. ESPEN guideline: clinical nutrition in surgery. Clin Nutr 2017; 36 (03) 623-650
- 6 Wischmeyer PE, Carli F, Evans DC. et al; Perioperative Quality Initiative (POQI) 2 Workgroup. American Society for Enhanced Recovery and Perioperative Quality initiative joint consensus statement on nutrition screening and therapy within a surgical enhanced recovery pathway. Anesth Analg 2018; 126 (06) 1883-1895
- 7 Harvey SE, Parrott F, Harrison DA. et al; CALORIES Trial Investigators. Trial of the route of early nutritional support in critically ill adults. N Engl J Med 2014; 371 (18) 1673-1684
- 8 Heidegger CP, Berger MM, Graf S. et al. Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. Lancet 2013; 381 (9864): 385-393
- 9 Braunschweig CL, Levy P, Sheean PM, Wang X. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr 2001; 74 (04) 534-542
- 10 Doig GS, Simpson F, Sweetman EA. et al; Early PN Investigators of the ANZICS Clinical Trials Group. Early parenteral nutrition in critically ill patients with short-term relative contraindications to early enteral nutrition: a randomized controlled trial. JAMA 2013; 309 (20) 2130-2138