Critical Care (Jun 2017)
Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery
- Christian Stoppe,
- Andreas Goetzenich,
- Glenn Whitman,
- Rika Ohkuma,
- Trish Brown,
- Roupen Hatzakorzian,
- Arnold Kristof,
- Patrick Meybohm,
- Jefferey Mechanick,
- Adam Evans,
- Daniel Yeh,
- Bernard McDonald,
- Michael Chourdakis,
- Philip Jones,
- Richard Barton,
- Ravi Tripathi,
- Gunnar Elke,
- Oliver Liakopoulos,
- Ravi Agarwala,
- Vladimir Lomivorotov,
- Ekaterina Nesterova,
- Gernot Marx,
- Carina Benstoem,
- Margot Lemieux,
- Daren K. Heyland
Affiliations
- Christian Stoppe
- Department of Intensive Care Medicine, University Hospital of the RWTH Aachen
- Andreas Goetzenich
- Department of Thoracic, Cardiac and Vascular Surgery, University Hospital, RWTH Aachen
- Glenn Whitman
- Cardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore
- Rika Ohkuma
- Cardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore
- Trish Brown
- Cardiac Surgical Intensive Care, Johns Hopkins Hospital Baltimore
- Roupen Hatzakorzian
- Department of Anesthesia, Royal Victoria Hospital, McGill University Health Centre
- Arnold Kristof
- Department of Microbiology and Immunology, McGill University Health Centre
- Patrick Meybohm
- Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital Frankfurt
- Jefferey Mechanick
- Division of Endocrinology, Diabetes, and Bone Disease, Icahn School of Medicine at Mount Sinai
- Adam Evans
- Icahn School of Medicine at Mount Sinai
- Daniel Yeh
- Department of Surgery, Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital
- Bernard McDonald
- Division of Cardiac Anesthesiology and Critical Care Medicine, University of Ottawa Heart Institute
- Michael Chourdakis
- Department of Medicine, Aristotle University of Thessaloniki, University Campus
- Philip Jones
- Departments of Anesthesia & Perioperative Medicine and Epidemiology & Biostatistics, University of Western Ontario
- Richard Barton
- Department of Surgery, University of Utah School of Medicine
- Ravi Tripathi
- Department of Anesthesiology, The Ohio State University College of Medicine
- Gunnar Elke
- Department of Anesthesiology and Intensive Care Medicine, University Medical Center Schleswig-Holstein
- Oliver Liakopoulos
- Department of Cardiothoracic Surgery, Heart Center, University of Cologne
- Ravi Agarwala
- Department of Anesthesiology, Section on Critical Care Medicine, Wake Forest School of Medicine
- Vladimir Lomivorotov
- Department of Anesthesiology and Intensive Care, Research Institute of Circulation Pathology
- Ekaterina Nesterova
- Department of Anesthesiology and Intensive Care Medicine, National Pirogov Surgical Medical Center
- Gernot Marx
- Department of Intensive Care Medicine, University Hospital of the RWTH Aachen
- Carina Benstoem
- Department of Thoracic, Cardiac and Vascular Surgery, University Hospital, RWTH Aachen
- Margot Lemieux
- Department of Critical Care Medicine, Queen’s University and Clinical Evaluation Research Unit, Angada 4, Kingston General Hospital
- Daren K. Heyland
- Department of Critical Care Medicine, Queen’s University and Clinical Evaluation Research Unit, Angada 4, Kingston General Hospital
- DOI
- https://doi.org/10.1186/s13054-017-1690-5
- Journal volume & issue
-
Vol. 21,
no. 1
pp. 1 – 16
Abstract
Abstract Nutrition support is a necessary therapy for critically ill cardiac surgery patients. However, conclusive evidence for this population, consisting of well-conducted clinical trials is lacking. To clarify optimal strategies to improve outcomes, an international multidisciplinary group of 25 experts from different clinical specialties from Germany, Canada, Greece, USA and Russia discussed potential approaches to identify patients who may benefit from nutrition support, when best to initiate nutrition support, and the potential use of pharmaco-nutrition to modulate the inflammatory response to cardiopulmonary bypass. Despite conspicuous knowledge and evidence gaps, a rational nutritional support therapy is presented to benefit patients undergoing cardiac surgery.
Keywords
- High-risk cardiac surgery
- Cardiopulmonary bypass
- Systemic inflammatory response
- Organ dysfunctions
- Nutrition risk stratification
- Underfeeding
