The Practical Handbook of Perioperative Metabolic and Nutritional Care
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Autor: M. Isabel T.D Correia
Editura: Elsevier
Limba: Engleza
Nr. pagini: 342
Coperta: Paperback
Dimensiuni: 15.19 x 2.06 x 22.91 cm
An aparitie: 15 July 2019
Description:
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 surgery
Explores processes for intra and postoperatively assessing metabolic and nutritional state to ensure patient progress
Contains content based on clinical process
Table of Contents:
Introduction
1. History of surgery, metabolism, and nutrition therapy
Common questions routinely asked in everyday practice
Response/Introduction
The history of surgery
The history of metabolism and nutrition
Conclusions
Recommended material
2. Organic response to stress
Common questions routinely asked in everyday practice
Response/Introduction
Principles
Stress definition
The ebb and flow phases
Glucose, lactate, protein, and lipid metabolism
Fluid and electrolyte response
The endocrine response
The inflammatory response
The immunologic response
Conclusions
Recommended material
3. Nutritional status and requirements
Common questions routinely asked in everyday practice
Response/Introduction
Nutritional status
Nutritional screening
Nutritional assessment
Impact on outcomes
Nutritional requirements
Conclusions
Recommended reading
4. Wound healing
Common questions routinely asked in everyday practice
Response/Introduction
Wound types
Tissue organization, disease states, and the wound
Wound healing phases
Wound contraction
Special wound healing characteristics in different tissues
Factors impacting wound healing
Conclusions
Recommended material
5. Metabolic and nutritional surgical preconditioning
Common questions routinely asked in everyday practice
Response/Introduction
Metabolic and surgical preconditioning
Preoperative parenteral nutrition therapy
Preoperative enteral nutrition
Preoperative fasting
Conclusions
Recommended reading
6. Bowel preparation
Common questions routinely asked in everyday practice
Response/Introduction
Principles behind bowel preparation and its evolution in clinical practice
Antibiotic use
Advantages and disadvantages
Conclusions
Recommended material
7. Rational for the use of antibiotics
Objectives
Common questions routinely asked in everyday practice
Response/Introduction
The human microbiota
Surgical site infections
Rational for antibiotic use
Conclusions
Recommended material
8. Postoperative nutrition therapy
Common questions routinely asked in everyday practice
Response/Introduction
Oral diet
Enteral nutrition
Parenteral nutrition
Nutrition care after hospital discharge
Conclusions
Recommended reading
9. Nutrition therapy complications
Common questions routinely asked in everyday practice
Response/Introduction
Metabolic complications related to all the nutrition therapy regimens
Oral nutrition complications
Enteral nutrition complications
Parenteral nutrition complications
Conclusions
Recommended reading
10. Immunonutrition
Common questions routinely asked in everyday practice
Response/Introduction
Definition
Rationale
Immunonutrients
Clinical use
Conclusions
11. Pro-, pre-, and symbiotics
Common questions routinely asked in everyday practice
Response/Introduction
Probiotics, prebiotics, and symbiotics
The operation and the disrupted microbiota
Probiotics and surgical complications
Conclusions
12. Exercise therapy
Common questions routinely asked in everyday practice
Response/Introduction
Preoperative interventions
Postoperative interventions
Conclusions
Recommended reading
13. Catheters
Common questions routinely asked in everyday practice
Introduction
Vascular catheters
Enteral catheters
Conclusions
Recommended material
14. Fluid and electrolyte therapy
Common questions routinely asked in everyday practice
Response/Introduction
Normal fluid and electrolyte physiology
Adverse events related to fluid and electrolyte imbalances
Goals of fluid replacement
Postoperative fluid, glucose, and electrolyte prescription
Daily fluid balance
Conclusions
Recommended reading
15. Acute pain management
Common questions routinely asked in everyday practice
Response/Introduction
Definition
Pain anatomy and physiology
Pain assessment
Pain control and effectivity
Implementation of pain strategies
Conclusions
Recommended reading
16. Antiemetic agents and motility stimulant medications
Common questions routinely asked in everyday practice
Response/Introduction
Definition of postoperative dysmotility and its consequences
The patient at high risk of postoperative dysmotility
Strategies to prevent postoperative dysmotility
The antiemetic and motility stimulant medications
Motility stimulant medications (prokinetics)
Conclusions
17. Other multimodal strategies
Common questions routinely asked in everyday practice
Response/Introduction
Preoperative counseling
Tubes, drains, and catheters
Premedication, short-acting anesthetics, and epidural analgesia
Normothermia
Thromboembolism prophylaxis
Minimal incisions and video procedures
Conclusions
Recommended reading
18. Music in the perioperative period
Common questions routinely asked in everyday practice
Response/Introduction
Concept of music
The difference of music therapy and music in the perioperative period
The benefits of music
Music for the surgical team
Conclusions
Recommended reading
19. The special patient
Common questions routinely asked in everyday practice
Response/Introduction
Children
Elderly
Pregnant
Obese
Diabetic
Disabled
Polypharmacy
Conclusions
Recommended reading
20. Interdisciplinary teams
Common questions routinely asked in everyday practice
Response/Introduction
Rationale
How to start
Challenges to face
Cost-effectiveness
Conclusions
Recommended reading
21. Quality, safety, and performance improvement
Common questions routinely asked in everyday practice
Response/Introduction
Quality, safety, and performance
The evolution of quality
How to improve quality in surgery
Conclusions
Recommended reading
22. Clinical and economic impact of protocols
Common questions routinely asked in everyday practice
Response/Introduction
Definition
Rationale
Clinical impact
Cost-effectiveness
Conclusions
Recommended reading
23. Knowledge translation
Common questions routinely asked in everyday practice
Response/Introduction
Knowledge translation concept
Knowledge translation in surgery
To implement knowledge translation
Conclusions
Recommended reading
24. Patient empowerment
Common questions routinely asked in everyday practice
Response/Introduction
Patient empowerment
Importance of empowering the surgical patient
Methods to help patient empowering
Conclusions
Recommended reading
25. Ethical considerations
Common questions routinely asked in everyday practice
Response/Introduction
Historical perspective
Principles
Current challenges
Conclusions
Recommended reading
26. Evidence-based Medicine in surgery
Common questions routinely asked in everyday practice
Response/Introduction
The concept
Critical appraisal
Evidence-based Medicine
Conclusions
Recommended reading
Index
| An aparitie | 15 July 2019 |
| Autor | M. Isabel T.D Correia |
| Dimensiuni | 15.19 x 2.06 x 22.91 cm |
| Editura | Elsevier |
| Format | Paperback |
| ISBN | 9780128164389 |
| Limba | Engleza |
| Nr pag | 342 |
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