Nutritional support for patients in the neurosurgical and neurological intensive care unit: are special guidelines necessary?

BACKGROUND: Nutritional support in abdominal surgery is a complex section of intensive care with many contradictions, both in the available recommendations and in relation to interdisciplinary interaction. The issues of assessing nutritional status, timing of the start and methods of clinical nutrition are far from being resolved. The analysis made it possible not so much to explain who and how to feed in the intensive care unit, to prove the need for an early start of enteral nutrition, as to assess the "scale of the disaster" in the form of a lack of unity of views and low adherence to clinical recommendations. AIMS: to analyze the effectiveness of early enteral nutrition in achieving optimal results in the treatment of patients with abdominal surgical pathology, to assess the depth of knowledge and adherence to clinical recommendations of specialists providing care to this cohort of patients. MATERIALS AND METHODS: The study included 50 patients, 32 of whom started early enteral nutrition, and 18 later enteral nutrition. A survey of 41 specialists (surgeons and intensivist) from three leading hospitals in Tyumen was also conducted. The main set of clinical material was conducted on the basis of the Regional Clinical Hospital No. 1. RESULTS: The study demonstrated the advantages of early enteral nutrition over delayed nutrition by an average of 48 hours in the form of reducing the duration of hospitalization, resuscitation stage of treatment and minimizing pulmonary complications. At the same time, a survey of specialists providing assistance to this cohort of patients showed a lack of unity in tactical approaches and insufficient adherence to the existing clinical recommendations on clinical nutrition in patients with abdominal surgical pathology. CONCLUSIONS: Further research in the field of nutritional support in patients with abdominal surgical pathology should be aimed at reducing the decision-making time in favor of an earlier and combined method of nutritional support, which can be facilitated by increasing literacy and adherence to clinical recommendations of specialists at the interdisciplinary level.

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Nutritional support for patients with abdominal surgical pathology: the view of a surgeon and an anesthesiologist — opponents or allies?

Shen

Mukhacheva

2023

Clinical nutrition and metabolism

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Nutritional support for patients in the neurosurgical and neurological intensive care unit: are special guidelines necessary?

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Nutritional support for patients with abdominal surgical pathology: the view of a surgeon and an anesthesiologist — opponents or allies?

Nutritional support for patients with abdominal surgical pathology: the view of a surgeon and an anesthesiologist — opponents or allies?

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