• Critical care clinics · Oct 2020

    Review

    Preoperative Treatment of Malnutrition and Sarcopenia in Cardiac Surgery: New Frontiers.

    • Aileen Hill, Rakesh C Arora, Daniel T Engelman, and Christian Stoppe.
    • Department of Intensive Care Medicine, 3CARE-Cardiovascular Critical Care & Anesthesia Evaluation and Research, University Hospital RWTH Aachen, Pauwelsstraße 30, Aachen D-52074, Germany. Electronic address: ahill@ukaachen.de.
    • Crit Care Clin. 2020 Oct 1; 36 (4): 593-616.

    AbstractCardiac surgery is performed more often in a population with an increasing number of comorbidities. Although these surgeries can be lifesaving, they disturb homeostasis and may induce a temporary overall loss of physiologic function. The required postoperative intensive care unit and hospital stay often lead to a mid- to long-term decline of nutritional and physical status, mental health, and health-related quality of life. Prehabilitation before elective surgery might be an opportunity to optimize the state of the patient. This article discusses current evidence and potential effects of preoperative optimization of nutrition and physical status before cardiac surgery.Copyright © 2020 Elsevier Inc. All rights reserved.

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