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Role of nutrition support in adult cardiac surgery: a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery
Open accessAbstract
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.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]
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Metadata
- 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
- ORCID
- Venue
- Critical Care
- Published
- 2017-06-05
- Volume
- 21
- Issue
- 1
- Pages
- 131-131
- ISSN
- 1364-8535 (ISSN-L)
- PMC
- PMC5460477
- 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
- gold
- doi.org
- 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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