Dietary supplements and bleeding

Hatfield, Jess; Saad, Saadeddine; Housewright, Chad D.

doi:10.1080/08998280.2022.2121575

Cited by 4 publications

(5 citation statements)

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“…Doctors and nurses should have a high level of knowledge and awareness of the complications and side effects of nutrients and food supplements in the surgical period, drug interactions [ 101 ] and the duration of discontinuation in the preoperative period [ 35 , 39 , 44 ]. However, studies conducted with doctors in the literature emphasise that doctors do not have a sufficient level of knowledge [ 47 , 48 ].…”

Section: Discussionmentioning

confidence: 99%

“…This section was developed by the researcher based on the literature [ 4 , 13 , 24 , 28 , 29 , 32 , 35 , 42 , 44 , 50 – 74 ].…”

Section: Methodsmentioning

confidence: 99%

“…This section was developed by the researcher based on the literature [ 31 , 32 , 35 , 38 – 42 , 44 , 45 , 50 , 52 , 75 ]. This section consists of a total of 61 questions about when to discontinue nutrients and food supplements (garlic, onion, lemon, nettle, parsley, red pepper (capsicum), chia seed, celery, rosemary, sage, thyme, St. John's wort, turmeric, ginger, hawthorn, aloe vera, black tea, green tea, linden, lavender, chamomile, echinacea, calendula, clove, dandelion, ginseng, ginkgo biloba, cherry, blueberry, horse chestnut, liquorice, valerian, red clover, anise seed, ephedra, kava, fenugreek, black cohosh, burdock, cat's claw, mistletoe, hops, passionflower, bitter melon, devil's claw, coenzyme Q10, vitamin E, vitamin C, vitamin B12, vitamin D, fish oil, calcium, magnesium, iron, zinc, folic acid, alpha-lipoic acid, L-arginine, sports supplements, probiotics, weight-loss products) in the preoperative period.…”

Section: Methodsmentioning

confidence: 99%

“…Nutrients and food supplements alter the efficacy of anticoagulants and antiplatelets [ 28 ], increase the efficacy of antihypertensive and antidiabetic drugs [ 29 ], interact with corticosteroids, central nervous system depressants, opioid analgesics [ 30 ] and anaesthetics [ 31 , 32 ] and increase the efficacy of sedatives and tranquillisers [ 13 ]. These supplements may also cause prolonged sedation [ 31 , 33 , 34 ], delayed recovery from anaesthesia [ 15 , 29 ], bleeding [ 15 , 31 , 33 – 35 ], coagulation disorders [ 34 , 35 ], cardiac problems [ 29 , 34 ], fluid-electrolyte imbalances [ 34 , 36 ], hypoglycaemia [ 15 , 34 ], affecting the need for analgesics after surgery [ 31 ], transplant rejection, irreversible side effects such as kidney [ 29 ] and liver toxicity [ 29 , 37 ] and even death. To prevent complications, side effects, and drug interactions, it is recommended to stop taking nutrients and food supplements two weeks prior to surgery [ 31 , 32 , 35 , 38 – 45 ].…”

Section: Introductionmentioning

confidence: 99%

“…These supplements may also cause prolonged sedation [ 31 , 33 , 34 ], delayed recovery from anaesthesia [ 15 , 29 ], bleeding [ 15 , 31 , 33 – 35 ], coagulation disorders [ 34 , 35 ], cardiac problems [ 29 , 34 ], fluid-electrolyte imbalances [ 34 , 36 ], hypoglycaemia [ 15 , 34 ], affecting the need for analgesics after surgery [ 31 ], transplant rejection, irreversible side effects such as kidney [ 29 ] and liver toxicity [ 29 , 37 ] and even death. To prevent complications, side effects, and drug interactions, it is recommended to stop taking nutrients and food supplements two weeks prior to surgery [ 31 , 32 , 35 , 38 – 45 ]. Awareness and knowledge level of doctors and nurses are very important in order to prevent, recognise and treat complications related to nutrients and food supplements [ 25 – 27 , 46 ].…”

Section: Introductionmentioning

confidence: 99%

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Knowledge levels of doctors and nurses working in surgical clinics about nutrients and food supplements, a multicentre descriptive study

Büyükkasap,

Yazıcı

2024

BMC Nurs

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Purpose The use of nutrients and food supplements is increasing worldwide. Nutrients and food supplements frequently used in the surgical period may cause complications and side effects. This study was conducted to determine the level of knowledge about sixty-one nutrients and food supplements among doctors and nurses working in surgical clinics. Design A multicentre descriptive, quantitative, cross-sectional study. Methods The study was conducted between 15 February and 31 May 2022 with a total of 410 participants, including 143 doctors and 267 nurses, working in the surgical clinics of 8 hospitals, including public, university and private hospitals, within the borders of one province in Turkey. Data were collected face-to-face using a questionnaire developed by the researchers, which included descriptive characteristics of the doctors and nurses and questions about sixty-one nutrients and food supplements. Results The median overall success score of the doctors and nurses participating in the study regarding the use of nutrients and food supplements was 3.20 out of 100 points, the median success score of complications and side effects of nutrients and food supplements in the surgical period was 7.06 out of 33 points, the median success score for discontinuation of nutrients and food supplements prior to surgery was 0.21 out of 16 points, and the median success score for drug interactions of nutrients and food supplements was 1.70 out of 51 points. In addition, it was found that the overall success scores of doctors and nurses regarding nutrients and food supplements increased statistically significantly with increasing age and working years. The total success score of doctors and nurses who received training in nutrients and food supplements was statistically significantly higher than that of doctors and nurses who did not receive training. Conclusion In conclusion, it was found that the level of knowledge of nutrients and food supplements among doctors and nurses working in surgical clinics was less than half or even close to zero. Therefore, it is recommended that training on nutrients and food supplements should be included in the undergraduate and postgraduate education of doctors and nurses in order to prevent complications, side effects, drug interactions and patient safety related to the use of nutrients and food supplements in the surgical period.

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