The Practical Handbook of Perioperative Metabolic and Nutritional Care

Intended for any healthcare professional working with surgical patients, including medical students, residents, surgeons and internists, nurses, dieticians, pharmacists, and physical therapists, The Practical Handbook of Perioperative Metabolic and Nutritional Care focuses on topics from the history of surgery and metabolism, to organic response to stress. Based on clinical processes, the author explores screening, assessment, and the impact of nutritional status on outcomes, in addition to investigating nutritional requirements, including macronutrients and micronutrients. Chapters examine wound healing as well as metabolic and nutritional surgical preconditioning, including coverage of preoperative counseling, preoperative nutrition, and preoperative fasting. Physical exercise is addressed, as well as nutritional therapy in the form of oral supplements, and enteral and parenteral approaches. Additional topics explored include nutrition therapy complications and immunomodulatory nutrients, pro, pre and symbiotics, postoperative oral, enteral and parenteral nutrition, enteral access, vascular access, fluid therapy, and more. With up-to-date information, practical and cost-effective data, this resource is critical for translating theory to practice.

Focuses on preoperative metabolic and nutritional preparation for surgeryExplores processes for intra and postoperatively assessing metabolic and nutritional state to ensure patient progressContains content based on clinical process

1. History of surgery, metabolism, and nutrition therapy 2. Organic response to stress 3. Nutritional status and requirements 4. Wound healing 5. Metabolic and nutritional surgical preconditioning 6. Bowel preparation 7. Rational for the use of antibiotics 8. Postoperative nutrition therapy 9. Nutrition therapy complications 10. Immunonutrition 11. Pro-, pre-, and symbiotics 12. Exercise therapy 13. Catheters 14. Fluid and electrolyte therapy 15. Acute pain management 16. Antiemetic agents and motility stimulant medications 17. Other multimodal strategies 18. Music in the perioperative period 19. The special patient 20. Interdisciplinary teams 21. Quality, safety, and performance improvement 22. Clinical and economic impact of protocols 23. Knowledge translation 24. Patient empowerment 25. Ethical considerations 26. Evidence-based Medicine in surgery