• M Binhas, R Amathieu, B Campillo, F Roudot-Thoraval, D Azoulay, B Plaud, G Dhonneur, and C Paugam-Burtz.
• Service d'anesthésie et des réanimations chirurgicales, université Paris-Est Créteil, Assistance publique-Hôpitaux de Paris, groupe hospitalier et universitaire Henri-Mondor-Albert-Chenevier, 51 avenue du Maréchal-de-Lattre-de-Tassigny, Créteil cedex, France. michele.binhas@hmn.aphp.fr
• Ann Fr Anesth Reanim. 2013 May 1;32(5):302-6.

ObjectiveThe European Society for Clinical Nutrition and Metabolism (EPSEN) guidelines on nutrition for liver disease patients has been recently updated. The aim of our study was to evaluate perioperative nutrition in cirrhotic patients waiting for liver transplantation (LT).Study DesignProspective electronic survey. A standardized questionnaire was sent to the anaesthesiologist of the 18 French adult LT centers. The questionnaire had closed-ended questions to evaluate nutritional practices in cirrhotic patients waiting for a LT.ResultsThe response rate was 100%. Nutritional status of the cirrhotic patients waiting for LT was assessed by anaesthesiologists (12 centres) and/or hepatologists (11 centres) and more rarely by nutrition physician, dietetics or liver surgeons. Body mass index (13 centres), weight loss (10 centres), albuminemia (10 centres) were the most frequent items used to assess the nutritional status. Before LT, preoperative oral intakes were administered in undernourished patients in only 55% of the cases. Postoperatively, nutritional support was administered between day 1 and 3 after LT.ConclusionPerioperative nutritional practices in cirrhotic patients waiting for LT are heterogeneous between centers, especially about nutrition assessment. Most of the centres did not follow the actual guidelines.Copyright © 2013 Société française d’anesthésie et de réanimation (Sfar). Published by Elsevier SAS. All rights reserved.

30 keywords...

hide…