Nutrição Hospitalar

M-A | Efeito clínico e segurança das novas diretrizes sobre o tempo de jejum pré-operatório para cirurgias eletivas.

14 Abr, 2022 | 16:54h

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Conteúdos relacionados:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (gratuito)

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Diretriz ESPEN sobre micronutrientes.

5 Abr, 2022 | 12:02h

ESPEN micronutrient guideline – Clinical Nutrition

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Revisão | Como abordar um estoma de alto débito.

22 Mar, 2022 | 11:41h

How to manage a high-output stoma – Frontline Gastroenterology

 

Comentário no Twitter

Access the latest #FGPapers online here now:https://t.co/c1Eu6jpZCa

This includes the paper 'How to manage a high-output stoma" by Dr Jeremy Nightingale via https://t.co/8Oc3kS6YIG@RMBeattie50 @OTavabie @Dr_Dee_Kumar @AusDrGupta @jennie_clough @AlenkaBrooks @PaedsRH pic.twitter.com/9DRNNu0ui1

— Frontline Gastro (@FrontGastro_BMJ) February 11, 2022

 

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Manutenção da hidratação oral em idosos em enfermarias cirúrgicas: projeto de implementação de melhores práticas.

21 Mar, 2022 | 16:27h

Maintaining oral hydration in older adults in surgical wards: a best practice implementation project – JBI Evidence Implementation (gratuito por tempo limitado)

 

Comentário no Twitter

A timely and relevant article on this #WDAD2022. It is essential that basic needs like hydration, nutrition, movement, and sleep are addressed to prevent and mitigate negative outcomes for older persons, especially those at risk for #delirium.#research #practice @JBI_EI https://t.co/YzRWMiVMKQ

— Andrea Rochon (@AndreaRochon) March 17, 2022

 

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Estudo randomizado | Efeitos da nutrição parenteral precoce vs. tardia em pacientes submetidos a cirurgia abdominal.

17 Mar, 2022 | 12:58h

Effect of Early vs Late Supplemental Parenteral Nutrition in Patients Undergoing Abdominal Surgery: A Randomized Clinical Trial – JAMA Surgery

Comentário convidado: Early Postoperative Supplementary Parenteral Nutrition – JAMA Surgery

Entrevista com a autora: Supplemental Parenteral Nutrition in Patients Undergoing Abdominal Surgery

 

Comentário no Twitter

Randomized clinical trial found supplemental parenteral nutrition in combination with enteral nutrition could significantly reduce the incidence of nosocomial infections in patients undergoing abdominal surgery. https://t.co/Agbf9TKPfX

— JAMA Surgery (@JAMASurgery) March 16, 2022

 

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Estudo randomizado | Segurança e eficácia de 3 estratégias de nutrição enteral em pacientes com AVC grave.

11 Mar, 2022 | 14:59h

Safety and efficacy of three enteral feeding strategies in patients with severe stroke in China (OPENS): a multicentre, prospective, randomised, open-label, blinded-endpoint trial – The Lancet Neurology (link para o resumo – $ para o texto completo)

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FDA emite alerta após 2 crianças serem sufocadas pelo tubo de alimentação enteral.

8 Mar, 2022 | 18:18h

FDA issues warning after 2 children strangled by enteral feeding set tubing – AAP News

Relatório original: Potential Risk of Strangulation in Children who Use Enteral Feeding Delivery Sets – U.S. Food & Drug Administration

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Estudo randomizado | Suplementação láctea com insulina humana recombinante enteral em bebês pré-termo é segura e resulta em alcance precoce das metas de nutrição enteral.

8 Mar, 2022 | 17:05h

Efficacy and Safety of Enteral Recombinant Human Insulin in Preterm Infants: A Randomized Clinical Trial – JAMA Pediatrics (link para o resumo – $ para o texto completo)

Comentário: Enteral insulin reduces the duration of feeding intolerance in preterm infants – MedPage Today (necessário cadastro gratuito)

 

Comentário no Twitter

Study findings support the use of rh insulin as a supplement to human milk and preterm formula. https://t.co/IA2MuIMJdc

— JAMA Pediatrics (@JAMAPediatrics) February 28, 2022

 

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Meu paciente internado precisa de jejum absoluto após a meia-noite antes de uma cirurgia?

4 Fev, 2022 | 17:31h

Does my hospitalized patient need an NPO-after-midnight order preoperatively? – Cleveland Clinic Journal of Medicine

Conteúdos relacionados:

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

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M-A | Não há evidência suficiente de que a suplementação de micronutrientes aliada a suporte nutricional padrão melhore os desfechos clínicos de pacientes internados com desnutrição.

28 Jan, 2022 | 16:11h

Effect of micronutrient supplementation in addition to nutritional therapy on clinical outcomes of medical inpatients: results of an updated systematic review and meta-analysis – European Journal of Clinical Nutrition (link para o resumo – $ para o texto completo)

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