Perioperative nutritional support. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”
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protein-energy malnutrition
nutritional support
postoperative period
preoperative period
parenteral nutrition
enteral nutrition

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Leiderman IN, Gritsan AI, Zabolotskikh IB, Mazurok VA, Polyakov IV, Potapov AL, Sytov AV, Yaroshetskiy AI Perioperative nutritional support. Clinical practice recommendations of the national “Federation of Anesthesiologists and Reanimatologists”. Annals of Critical Care. 2022;(4):7–20. doi:10.21320/1818-474X-2021-4-7-20.


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Numerous publications show that, depending on the type of pathology, protein-energy malnutrition develops in 20– 50 % of surgical patients directly in the hospital in the early postoperative period. Rather a great number of patients with surgical diseases are already hospitalized with varying degrees of malnutrition. From 30 % to 69 % of patients are admitted to the hospital with I–III grade of protein-energy malnutrition and require mandatory nutritional support. Risk factors for protein-energy malnutrition development are determined in 60–70 % of hospitalized patients. This clinical practice recommendations present the basic principles of nutritional support in the perioperative period.
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