Role of nutrition support in adult cardiac surgery: A consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery

Christian Stoppe, Andreas Goetzenich, Glenn Whitman, Rika Ohkuma, Trish Brown, Roupen Hatzakorzian, Arnold Kristof, Patrick Meybohm, Jefferey Mechanick, Adam Evans, Daniel Yeh, Bernard McDonald, Michael Chourdakis, Philip Jones, Richard Barton, Ravi Tripathi, Gunnar Elke, Oliver Liakopoulos, Ravi Agarwala, Vladimir LomivorotovEkaterina Nesterova, Gernot Marx, Carina Benstoem, Margot Lemieux, Daren K. Heyland

Research output: Contribution to journalArticlepeer-review

Abstract

Nutrition support is a necessary therapy for critically ill cardiac surgery patients. However, conclusive evidence for this population, consisting of well-conducted clinical trials is lacking. To clarify optimal strategies to improve outcomes, an international multidisciplinary group of 25 experts from different clinical specialties from Germany, Canada, Greece, USA and Russia discussed potential approaches to identify patients who may benefit from nutrition support, when best to initiate nutrition support, and the potential use of pharmaco-nutrition to modulate the inflammatory response to cardiopulmonary bypass. Despite conspicuous knowledge and evidence gaps, a rational nutritional support therapy is presented to benefit patients undergoing cardiac surgery.

Original languageEnglish (US)
Article number131
JournalCritical Care
Volume21
Issue number1
DOIs
StatePublished - Jun 5 2017

Keywords

  • Cardiopulmonary bypass
  • Enteral nutrition
  • High-risk cardiac surgery
  • Nutrition risk stratification
  • Organ dysfunctions
  • Pharmaco-nutrition
  • Postoperative nutritional management
  • Supplemental parenteral nutrition
  • Systemic inflammatory response
  • Underfeeding

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

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