Cited by 138Clinical Nutrition and GastroenterologyHemodynamic Monitoring and TherapyEnhanced Recovery After Surgery

Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery

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Stoppe, Christian, Goetzenich, Andreas, Whitman, Glenn, Ohkuma, Rika, Brown, Trish, Hatzakorzian, Roupen, Kristof, Arnold, Meybohm, Patrick +17 more·2017·Critical Care

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.

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  • European recommendations have adopted evidence for clear liquids up to 2 hours before and a light meal up to 6 hours before surgery.

    “European recommendations have adopted evidence for clear liquids up to 2 hours before and a light meal up to 6 hours before surgery.180,188,193”

    From Malnutrition and Cachexia in Inpatients With Acute Cardiac Conditions: A Scientific Statement From the American Heart Association (2026) · cites this paper as [188]

    The 'Optimal time point for perioperative nutrition therapy' section discusses nutrition support before cardiac surgery, but does not address fasting allowances. Searches for clear liquids, light meals, and European preoperative fasting recommendations found no passage in our copy stating the two-hour and six-hour limits. (LLM, conf=0.73)

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  1. [57]Tepeske R Velthuis H Oudemans-van Straaten HM Heisterkamp SH Ince C Effect of preoperative oral immune-enhancing nutritional supplement on patients at high risk of infection after cardiac surgery: a randomised placebo-controlled trial Lancet 2001 358 9283 696 701 10.1016/S0140-6736(01)05836-6 11551575 · DOI

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Authors
Stoppe, C., Goetzenich, A., Whitman, G., Ohkuma, R., Brown, T., Hatzakorzian, R., Kristof, A., Meybohm, P., Mechanick, J., Evans, A., Yeh, D., McDonald, B., Chourdakis, M., Jones, P., Barton, R., Tripathi, R., Elke, G., Liakopoulos, O., Agarwala, R., Lomivorotov, V., Nesterova, E., Marx, G., Benstoem, C., Lemieux, M., & Heyland, D. K.
Affiliations
  • Universitätsklinikum Aachen (DE)
  • Johns Hopkins University (US)
  • McGill University Health Centre (CA)
  • University Hospital Frankfurt (DE)
  • Icahn School of Medicine at Mount Sinai (US)
  • Massachusetts General Hospital (US)
  • Ottawa Heart Institute (CA)
  • Aristotle University of Thessaloniki (GR)
  • Western University (CA)
  • University of Utah (US)
  • The Ohio State University (US)
  • University Hospital Schleswig-Holstein (DE)
  • University of Cologne (DE)
  • Atrium Health Wake Forest Baptist (US)
  • National Medical and Surgical Center named after N.I. Pirogov (RU)
  • Queen's University (CA)
Corresponding author
  • Stoppe, Christian
  • Goetzenich, Andreas
Venue
Critical Care
Published
2017-06-05
Volume
21
Issue
1
Pages
131-131
ISSN
1364-8535 (ISSN-L)
OpenAlex
W2622607558
Cited by
138
References
67
Citations by year
2026: 13 · 2025: 11 · 2024: 13 · 2023: 22 · 2022: 13 · 2021: 16 · 2020: 26 · 2019: 11 · 2018: 12
FWCI
11.15
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Critical Care (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Kölner Universitäts PublikationsServer (Universität zu Köln) (publishedVersion)
  • RWTH Publications (RWTH Aachen) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Publication Server of Goethe University Frankfurt am Main (Goethe University Frankfurt) (submittedVersion, cc-by)
  • RWTH Publications (RWTH Aachen)
Funders
001 (The 1st International expert meeting of intensivists, anaesthesiologists, dieticians and cardiac surgeons in Boston was financially supported by B. Braun Melsungen AG (Melsungen, Germany).)
Topics
  • Health Sciences › Nursing › Nutrition and Dietetics › Clinical Nutrition and Gastroenterology
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
  • Health Sciences › Medicine › Surgery › Enhanced Recovery After Surgery
Keywords
nutritional support, cardiac surgery, critically ill patients, cardiopulmonary bypass, inflammation, nutritional therapy
MeSH terms
Adult, Cardiovascular Diseases, Cardiac Surgical Procedures, Humans, Metabolism, Nutritional Status, Nutritional Support, Consensus, Interdisciplinary Communication, Internationality

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