| نویسنده | نفر چندم مقاله |
|---|---|
| خاطره رضازاده | اول |
| عنوان | متن |
|---|---|
| کلمات کلیدی | Subjective Global Nutritional Assessment , Nutrition screening, preoperative nutrition, post operative nutrition |
| خلاصه مقاله | Appropriate nutritional support is essential to the care of children undergoing surgery, not only to assure appropriate wound healing and convalescence, but also to ensure normal future growth. Pediatric malnutrition is an imbalance between nutrient requirements and intake. Resulting in cumulative deficits of energy, protein, or micronutrients. Unfortunately, malnutrition in hospitalized children is prevalent. Ideally, all children undergoing surgery should be screened. There are several screening tools available for pediatric patients intended to identify children who need more extensive nutrition assessment. Pediatric patients who are identified to be at nutrition risk after screening should undergo complete nutrition assessment by a registered dietitian or nutrition support team to confirm the diagnosis of malnutrition. Nutrition assessment tools are limited. The Subjective Global Nutritional Assessment (SGNA) is the gold standard for diagnosing pediatric malnutrition. SGNA is validated to identify the presence and degree of malnutrition in pediatric patients, including preoperative surgical patients. When malnutrition is confirmed, consideration should be given to optimizing nutrition intake prior to surgery. When surgery can be safely delayed, enteral nutrition should be given to children found to be severely malnourished until a 10% increase in body weight and a z score >−2 SD is achieved. Children with mild to moderate malnutrition may benefit from receiving at least 10–14 days of enteral nutrition prior to surgery to improve nitrogen balance and help with wound healing. |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| Nutrition in Surgery.pdf | 1403/01/28 | 162700 | دانلود |
| Certificate.pdf | 1403/01/28 | 87651 | دانلود |