Perioperative nutritional support. Russian Federation of anesthesiologists and reanimatologists guidelines

I.N. Leyderman, A.I. Gritsan, I.B. Zabolotskikh, S.V. Lomidze, V.A. Mazurok, I.V. Nekhaev, E.M. Nikolaenko, A.V. Nikolenko, I.V. Poliakov, A.V. Sytov, A.I. Yaroshetskiy

Russian Federation of Anesthesiologists and Reanimatologists

For correspondence: Leyderman Ilya Naumovich — Chair of Anesthesiology, Critical Care and Transfusiology, Ural State Medical University, Ekaterinburg; e-mail: inl230970@gmail.com

For citation: Leyderman IN, Gritsan AI, Zabolotskikh IB, Lomidze SV, Mazurok VA, Nekhaev IV, Nikolaenko EM, Nikolenko AV, Poliakov IV, Sytov AV, Yaroshetskiy AI. Perioperative nutritional support. Russian Federation of anesthesiologists and reanimatologists guidelines. Alexander Saltanov Intensive Care Herald. 2018;3:5–21.

DOI: 10.21320/1818-474X-2018-3-5-21


Malnutrition among surgical patients is rather common problem. The degree and severity of malnutrition after surgery significantly correlates with the length of stay in the intensive care unit and surgical hospital, rate of infectious complications development, unsatisfactory results of treatment and increased costs. The presented clinical recommendations clarifies key methods for the prevention of development, diagnosis and treatment of the protein-energy malnutrition (PEM) syndrome in the pre and postoperative period. The choice of methods for diagnosis and PEM correction during the perioperative period is based on studies evaluated from the endpoints of evidence-based medicine. In applications, key quality criteria for treatment, as well as algorithms of actions in the preoperative and postoperative period are presented.

Keywords: preoperative period, postoperative period, protein-energy malnutrition, nutritional status, parenteral nutrition, enteral nutrition, nutritional support

Received: 20.08.2018


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