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Anesthesiol Clin. 2016 Mar;34(1):143-53. doi: 10.1016/j.anclin.2015.10.012.

Preoperative Nutrition and Prehabilitation.

Author information

1
Department of Anesthesiology, Health Science Center, Stony Brook University School of Medicine, L4-060, Stony Brook, NY 11794, USA.
2
Department of Anesthesiology, Health Science Center, Stony Brook University School of Medicine, L4-060, Stony Brook, NY 11794, USA. Electronic address: tong.gan@stonybrookmedicine.edu.

Abstract

Enhanced recovery after surgery is the natural evolution of what were previously referred to as fast track programs and seeks to implement a series of interventions to improve and enhance recovery after major surgical procedures. Two important preoperative aspects are nutrition and prehabilitation. Identifying nutritionally deficient patients allows preoperative intervention to optimize their nutritional status. The contribution of cardiopulmonary exercise testing to the evaluation of perioperative risk, subsequent development of a training program, and the use of indices to risk stratify and measure improvement after a training program allow a personalized preoperative program to be developed for each patient.

KEYWORDS:

Functional capacity; Immunonutrition; Nutrition; Prehabilitation; Preoperative optimization

PMID:
26927744
DOI:
10.1016/j.anclin.2015.10.012
[Indexed for MEDLINE]

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