Over the last 15 years, orthopedic departments have begun to consider a multidisciplinary approach in the management of hip/knee arthroplasty and spine surgery. However, much misperception persists on the founding concepts of rapid-recovery approaches, and most of the programs in orthopedics lacks nutritional support. Despite the complexities of nutritional parameters prognostic potentials, associated interventions mainly focused on using dietary supplements. Nevertheless, an effective integrative nutritional support program for enhancing recovery after surgery should comprehensively account for pre-operative nutritional counseling and optimization, shortening fasting time, early postoperative feeding and integration, and follow-up dietary management after discharge.

Nutritional support for enhanced recovery programs in orthopedics: Future perspectives for implementing clinical practice / Briguglio, M.; Gianola, S.; Aguirre, M. -F. I.; Sirtori, P.; Perazzo, P.; Pennestri, F.; Brayda-Bruno, M.; Sansone, V.; Banfi, G.. - In: NUTRITION CLINIQUE ET METABOLISME. - ISSN 0985-0562. - 33:3(2019), pp. 190-198. [10.1016/j.nupar.2019.04.002]

Nutritional support for enhanced recovery programs in orthopedics: Future perspectives for implementing clinical practice

Banfi G.
2019-01-01

Abstract

Over the last 15 years, orthopedic departments have begun to consider a multidisciplinary approach in the management of hip/knee arthroplasty and spine surgery. However, much misperception persists on the founding concepts of rapid-recovery approaches, and most of the programs in orthopedics lacks nutritional support. Despite the complexities of nutritional parameters prognostic potentials, associated interventions mainly focused on using dietary supplements. Nevertheless, an effective integrative nutritional support program for enhancing recovery after surgery should comprehensively account for pre-operative nutritional counseling and optimization, shortening fasting time, early postoperative feeding and integration, and follow-up dietary management after discharge.
2019
Enhanced recovery after surgery; Fast-track; Nutritional support; Orthopedic
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/94326
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