The Practical Handbook of Perioperative Metabolic and Nutritional Care

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.

1. History of surgery, metabolism, and nutrition therapy2. Organic response to stress3. Nutritional status and requirements4. Wound healing5. Metabolic and nutritional surgical preconditioning6. Bowel preparation7. Rational for the use of antibiotics8. Postoperative nutrition therapy9. Nutrition therapy complications10. Immunonutrition11. Pro-, pre-, and symbiotics12. Exercise therapy13. Catheters14. Fluid and electrolyte therapy15. Acute pain management16. Antiemetic agents and motility stimulant medications17. Other multimodal strategies18. Music in the perioperative period19. The special patient20. Interdisciplinary teams21. Quality, safety, and performance improvement22. Clinical and economic impact of protocols23. Knowledge translation24. Patient empowerment25. Ethical considerations26. Evidence-based Medicine in surgery

medical students, residents, surgeons and internists, nurses, dieticians, pharmacists and physical therapists

• 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