Apolo

Atividade

106881 - Protocolos de Terapia Nutricional em Cirurgia

Período da turma:

01/05/2024 a 15/06/2024

Selecione um horário para exibir no calendário:

Descrição:

A TN nutrição perioperatória visa minimizar o balanço energético-proteico negativo causado pelo jejum no pré e pós-operatório e estresse cirúrgico, bem como a manutenção da massa magra e da função imunológica, com a finalidade de otimizar a recuperação pós-operatória. A prevenção e correção da desnutrição no período pré-operatório por meio de uma triagem e avaliação nutricional adequadas é capaz de reduzir a frequência das complicações e a mortalidade. Ainda, o uso de imunonutrientes pode auxiliar na restauração e manutenção da resposta imunológica. Por fim, a adoção de protocolos ERAS auxilia na melhor recuperação do paciente e na redução do tempo de internação e das complicações pós-operatórias.
Detalhamento:
Triagem perioperatória (PONS) e risco nutricional
Suporte nutricional no perioperatório
Imunonutrientes
ERAS (Enhanced Recovery After Surgery)
Particularidades da TN de acordo com o tipo de cirurgia
Cuidados com a terapia nutricional (NE vs NP)
Fístulas enterocutâneas
Referencias Bibliograficas:
Livros
Nascimento JEA, Campos AC, Borges A, et al. Projeto Diretrizes. Terapia Nutricional no Perioperatório, Associação Médica Brasileira e Conselho Federal de Medicina, 2011.
Artigos
Cabellos Olivares M, Labalde Martínez M, Torralba M. C-reactive protein as a marker of the surgical stress reduction within an ERAS protocol (Enhanced Recovery After Surgery) in colorectal surgery: A prospective cohort study. J Surg Oncol. 117(4):717-724, 2018.
Peters EG, Smeets BJJ, Nors J, et al. Perioperative lipid-enriched enteral nutrition versus standard care in patients undergoing elective colorectal surgery (SANICS II): a multicentre, double-blind, randomised controlled trial. The Lancet Gastroenterol Hepatol 3(4):242–251, 2018.
West MA, Wischmeyer PE, Grocott MPW. Prehabilitation and Nutritional Support to Improve Perioperative Outcomes. Curr Anesthesiol Rep. 7(4):340-349, 2017.
Weimann A, Braga M, Carli F, et al. ESPEN guideline: Clinical nutrition in surgery. Clin Nutr. 36(3):623-650, 2017.
Zhong JX, Kang K, Shu XL. Effect of nutritional support on clinical outcomes in perioperative malnourished patients: a meta-analysis. Asia Pac J Clin Nutr. 24(3):367-78, 2015.
Bozzetti F, Mariani L. Perioperative nutritional support of patients undergoing pancreatic surgery in the age of ERAS. Nutrition. 30(11-12):1267-71, 2014.
Maung AA, Davis KA. Perioperative nutritional support: immunonutrition, probiotics, and anabolic steroids. Surg Clin North Am. 92(2):273-83, 2012.
Ripollés-Melchor J, Varela MLF, Camargo SC, et al. Aceleração da recuperação após protocolo cirúrgico versus cuidados perioperatórios convencionais em cirurgia colorretal. Um estudo de coorte em centro único. Rev Bras Anestesiol. 2018;68(4):358-368
Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERASÒ) Society Recommendations: 2018. World J Surg 43:659–695, 2019.
Visioni A, Rupen S, Emmanuel G, et al. Enhanced Recovery After Surgery for Noncolorectal Surgery? A Systematic Review and Meta-analysis of Major Abdominal Surgery. Annals of Surgery 267(1): 57-65, 2018.
Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). Europ J Cardio-Thoracic Surg 55(1):91–115, 2019.
Nelson G, Bakkum-Gamez J, Kalogera E, et al. Guidelines for perioperative care in gynecologic/oncology: Enhanced Recovery After Surgery (ERAS) Society recommendations—2019 update . Int J Gynecol Cancer 29:651–668, 2019.
Soffin EM, Vaishnav AS, Wetmore DS, et al. Design and Implementation of an Enhanced Recovery After Surgery (ERAS) Program for
Low DE, William Allum W, Manzoni GD, et al. Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery After Surgery (ERASÒ) Society Recommendations World J Surg 43:299–330, 2019.
Rinninella E, Persiani R, D’Ugo D, et al. NutriCatt protocol in the Enhanced Recovery After Surgery (ERAS) program for colorectal surgery: The nutritional support improves clinical and cost-effectiveness outcomes. Nutrition 50:74-78, 2018.
Gillis C, Wischmeyer PE. Pre-operative nutrition and the elective surgical patient: why, how and what? Anaesthesia 74(Suppl. 1):27–35, 2019.
Jayakar RMJ, Thomas A. Nasojejunal tube in the treatment of enterocutaneous fistula: A blessing in disguise. Journal of Current Research in Scientific Medicine 4(1):65-67, 2018.
Raju Mandapati Jacob Alexander Thomas
Martinez JL, Bosco-Garate I, Souza-Gallardo LM. Effect of Preoperative Administration of Oral Arginine and Glutamine in Patients with Enterocutaneous Fistula Submitted to Definitive Surgery: a Prospective Randomized Trial. Journal of Gastrointestinal Surgery , 2018
Parli Se, Pfeifer C, Oyler DR. Redefining “bowel regimen”: Pharmacologic strategies and nutritional considerations in the management of small bowel fistulas. The American Journal of Surgery 216(2): 351-358, 2018.
Bikhchandani J. Enhanced Recovery After Surgery and Its Effects on Patient Reported Outcomes. Surg Clin North Am.98(6):1129-1135, 2018.
Kleppe KL, Greenberg JA. Enhanced Recovery After Surgery Protocols: Rationale and Components. Surg Clin North Am. 98(3):499-509, 2018.
Sá JSM, MarshallNM. Indicadores de Qualidade em Terapia Nutricional como ferramenta de monitoramento da assistência nutricional no paciente cirúrgico . Rev Bras Nutr Clin 30(2):100-5, 2015.
Bazzi NB, Leal V, Júnior L, et al. Estado nutricional e tempo de jejum em pacientes submetidos a cirurgias colorretais eletivas. Nutr. clín. diet. Hosp. 36(2):103-110, 2016.

Carga Horária:

38 horas

Tipo:

Obrigatória

Vagas oferecidas:

330

Ministrantes:

Ajith Kumar Sankarankutty
Anderson Marliere Navarro
André Dong Won Lee
Helio Vannucchi
João Abrão
Juliana de Carvalho Machado
Pedro Paulo Dal Bello

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