• Nutrition · Apr 2016

    Special postoperative diet orders: Irrational, obsolete, and imprudent.

    • Krishnan Sriram, Vidhya Ramasubramanian, and Michael M Meguid.
    • Adult Critical Care and eICU, Advocate Health Care, Oakbrook, IL; Division of Surgical Critical Care, Stroger Hospital of Cook County, Chicago, IL. Electronic address: Krishnan.sriram@advocatehealth.com.
    • Nutrition. 2016 Apr 1; 32 (4): 498-502.

    AbstractThere are no indications to prescribed special diets for postoperative patients. Low-sodium and low-fat or low-cholesterol diets are examples of restricted diets, especially in patients with heart disease and atherosclerosis. These restricted diets are unpalatable. Postoperative nausea, paralytic ileus, and vomiting caused by residual anesthetic effects and opioids used for pain control further contribute to the problem. Long-term adherence to these diets is necessary to derive benefits. Prescribing regular and palatable diets in the immediate postoperative period to meet protein and energy goals is important for wound healing and is commensurate with best clinical practices. In the following, we review the pertinent literature and offer clinical evidence that routine special diet orders for postoperative patients are not necessary.Published by Elsevier Inc.

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