{"id":1870,"date":"2023-01-19T10:04:47","date_gmt":"2023-01-19T13:04:47","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=1870"},"modified":"2023-01-19T10:04:47","modified_gmt":"2023-01-19T13:04:47","slug":"nutricao-parenteral-pre-operatorio","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/nutricao-parenteral-pre-operatorio\/","title":{"rendered":"Afinal, nutri\u00e7\u00e3o parenteral faz sentido no pr\u00e9-operat\u00f3rio?"},"content":{"rendered":"<p>O trauma cir\u00fargico tem implica\u00e7\u00f5es no metabolismo do paciente. Com isso, \u00e9 fundamental adequar as condutas para garantir a manuten\u00e7\u00e3o do estado nutricional adequado do indiv\u00edduo que est\u00e1 passando pela interven\u00e7\u00e3o. <strong>Sendo assim, vale sempre repassar o que uma das principais<\/strong><a href=\"https:\/\/www.scielo.br\/j\/rcbc\/a\/QrQS3Xxq5ztxp5RtCwr3JNz\/?lang=pt&amp;format=pdf\"><strong> diretrizes<a class=\"bibliography-sup\" title=\"de-Aguilar-Nascimento, J. E., Salom\u00e3o, A. B., Waitzberg, D. L., Dock-Nascimento, D. B., Correa, M. I. T., Campos, A. C. L., ... &amp; Caporossi, C. (2017). Diretriz ACERTO de interven\u00e7\u00f5es nutricionais no perioperat\u00f3rio em cirurgia geral eletiva. Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es, 44, 633-648.\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/strong><\/a>\u00a0<strong>obtidas a partir das melhores evid\u00eancias, trazem a respeito do manejo nutricional, incluindo a nutri\u00e7\u00e3o parenteral no pr\u00e9-operat\u00f3rio. <\/strong><\/p>\n<p>Desse modo, diante do grande volume de interna\u00e7\u00f5es para procedimentos cir\u00fargicos, a utiliza\u00e7\u00e3o correta da terapia nutricional pode gerar avan\u00e7os positivos nos desfechos cl\u00ednicos e um melhor aproveitamento dos recursos dispon\u00edveis.<\/p>\n<p>&nbsp;<\/p>\n<h2>Quais os benef\u00edcios gerais da prescri\u00e7\u00e3o de terapia nutricional pr\u00e9-operat\u00f3ria?<\/h2>\n<p><strong>Como destacado, a partir do momento em que o estado nutricional interfere no resultado p\u00f3s-operat\u00f3rio, faz sentido que sejam introduzidas terapias que visem estabelecer uma melhor condi\u00e7\u00e3o para esses pacientes enfrentarem um trauma como a cirurgia. <\/strong>Geralmente, quanto maior for o comprometimento do estado nutricional, maiores ser\u00e3o os riscos do desenvolvimento de complica\u00e7\u00f5es e de <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/menor-ingestao-alimentar-morte-hospitalar\/\">morbimortalidades<\/a>, o que tamb\u00e9m envolve aumento nos custos hospitalares<a class=\"bibliography-sup\" title=\"Mosquera C, Koutlas NJ, Edwards KC, Strickland A, Vohra NA, Zervos EE, et al. Impact of malnutrition on gastrointestinal surgical patients. J Surg Res. 2016;205(1):95-101. 23. \" href=\"#\" data-bibliography-link=\"\">2<\/a><a class=\"bibliography-sup\" title=\"Garth AK, Newsome CM, Simmance N, Crowe TC. Nutritional status, nutrition practices and post-operative complications in patients with gastrointestinal cancer. J Hum Nutr Diet. 2010;23(4):393-401\" href=\"#\" data-bibliography-link=\"\">,3<\/a> Essa din\u00e2mica se acentua em pacientes idosos.<a class=\"bibliography-sup\" title=\"van Stijn MF, Korkic-Halilovic I, Bakker MS, van der Ploeg T, van Leeuwen PA, Houdijk AP. Preoperative nutrition status and postoperative outcome in elderly general surgery patients: a systematic review. JPEN J Parenter Enteral Nutr. 2013;37(1):37-4\" href=\"#\" data-bibliography-link=\"\">4<\/a><\/p>\n<p>A avalia\u00e7\u00e3o do risco nutricional pr\u00e9-operat\u00f3rio deve ser feita, preferencialmente, por meio da ferramenta NRS-2002 <a href=\"https:\/\/www.mdcalc.com\/calc\/4012\/nutrition-risk-screening-2002-nrs-2002\">(Nutritional Risk Screening)<\/a><u>, <\/u>que tem um importante papel como preditora de complica\u00e7\u00f5es no p\u00f3s-operat\u00f3rio.<a class=\"bibliography-sup\" title=\"Sun Z, Kong XJ, Jing X, Deng RJ, Tian ZB. Nutritional Risk Screening 2002 as a predictor of postoperative outcomes in patients undergoing abdominal surgery: a systematic review and metaanalysis of prospective cohort studies. PLoS One. 2015;10(7):e0132857\" href=\"#\" data-bibliography-link=\"\">5<\/a><\/p>\n<p>Em geral, a manuten\u00e7\u00e3o de um estado nutricional adequado no pr\u00e9-operat\u00f3rio melhora os desfechos obtidos, embora a maior parte dos resultados mencionados nos estudos envolvem pacientes que passaram por cirurgias no trato gastrointestinal ou na regi\u00e3o da cabe\u00e7a e pesco\u00e7o, devido \u00e0 presen\u00e7a de tumores.<a class=\"bibliography-sup\" title=\"Kabata P, Jastrz\u0119bski T, K\u0105kol M, Kr\u00f3l K, Bobowicz M, Kosowska A, et al. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition--prospective randomized controlled trial. Support Care Cancer. 2015;23(2):365-70. \" href=\"#\" data-bibliography-link=\"\">6<\/a>,<a class=\"bibliography-sup\" title=\"Itou K, Fukuyama T, Sasabuchi Y, Yasuda H, Suzuki N, Hinenoya H, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. J Anesth. 2012;26(1):20-7\" href=\"#\" data-bibliography-link=\"\">7<\/a><\/p>\n<p><em>\u00a0<\/em><\/p>\n<p><em>Leia tamb\u00e9m: <\/em><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/omega-3-e-reducao-complicacao-pos-cirurgia-cancer-gastrico\/\"><em>\u00f4mega-3 e diminui\u00e7\u00e3o de complica\u00e7\u00f5es p\u00f3s-cirurgia de c\u00e2ncer g\u00e1strico<\/em><\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Em que circunst\u00e2ncias a nutri\u00e7\u00e3o parenteral \u00e9 recomendada?<\/h2>\n<p>As indica\u00e7\u00f5es gerais de terapia nutricional parenteral englobam prescri\u00e7\u00f5es em per\u00edodos que variam de 5 a 10 dias antes da data da cirurgia eletiva<strong>. A via preferencial deve ser sempre a oral, com suplementos proteicos. Quando isso n\u00e3o for poss\u00edvel, deve-se utilizar as vias enteral ou parenteral.<a class=\"bibliography-sup\" title=\"Kabata P, Jastrz\u0119bski T, K\u0105kol M, Kr\u00f3l K, Bobowicz M, Kosowska A, et al. Preoperative nutritional support in cancer patients with no clinical signs of malnutrition--prospective randomized controlled trial. Support Care Cancer. 2015;23(2):365-70.\" href=\"#\" data-bibliography-link=\"\">6<\/a>,<a class=\"bibliography-sup\" title=\"Itou K, Fukuyama T, Sasabuchi Y, Yasuda H, Suzuki N, Hinenoya H, et al. Safety and efficacy of oral rehydration therapy until 2 h before surgery: a multicenter randomized controlled trial. J Anesth. 2012;26(1):20-7\" href=\"#\" data-bibliography-link=\"\">7<\/a><\/strong><\/p>\n<p>Nos quadros em que a ingest\u00e3o via oral de energia e nutrientes n\u00e3o for capaz de suprir pelo menos 50% das necessidades m\u00ednimas di\u00e1rias por, ao menos 7 dias, pode ser feita a introdu\u00e7\u00e3o de terapia nutricional combinando a via enteral e a parenteral, se necess\u00e1rio.<a class=\"bibliography-sup\" title=\"Weimann, A., Braga, M., Carli, F., Higashiguchi, T., H\u00fcbner, M., Klek, S., ... &amp; Singer, P. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.\" href=\"#\" data-bibliography-link=\"\">8<\/a><\/p>\n<p>Se houver contraindica\u00e7\u00e3o para a nutri\u00e7\u00e3o enteral, o uso exclusivo da via parenteral \u00e9 indicado. \u00c9 o acontece, por exemplo, nos casos de obstru\u00e7\u00e3o intestinal, \u00edleo, isquemia intestinal, hemorragias graves do trato gastrintestinal e f\u00edstulas de alto d\u00e9bito.<a class=\"bibliography-sup\" title=\"Weimann, A., Braga, M., Carli, F., Higashiguchi, T., H\u00fcbner, M., Klek, S., ... &amp; Singer, P. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.\" href=\"#\" data-bibliography-link=\"\">8<\/a> Pacientes para os quais temos d\u00favidas quanto \u00e0 adequa\u00e7\u00e3o da fun\u00e7\u00e3o gastrintestinal devem receber nutri\u00e7\u00e3o via parenteral.<a class=\"bibliography-sup\" title=\"Woodcock NP, Zeigler D, Palmer MD, Buckley P, Mitchell CJ, MacFie J. Enteral versus parenteral nutrition: a pragmatic study. Nutrition 2001;17:1e12.\" href=\"#\" data-bibliography-link=\"\">10<\/a><\/p>\n<p>&nbsp;<\/p>\n<h2>Que outros cuidados devem ser observados na nutri\u00e7\u00e3o pr\u00e9-operat\u00f3ria?<\/h2>\n<p><strong>A <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/dosagens-adequadas-na-nutricao-parenteral-entenda-a-importancia\/\"><strong>nutri\u00e7\u00e3o parenteral<\/strong><\/a><strong><u>,<\/u><\/strong><strong> mediante avalia\u00e7\u00e3o cuidadosa, n\u00e3o s\u00f3 faz sentido, como \u00e9 estrat\u00e9gia recomendada para redu\u00e7\u00e3o de riscos no p\u00f3s-operat\u00f3rio para pacientes nos quais outras vias s\u00e3o invi\u00e1veis ou incapazes de fornecer a energia e os nutrientes necess\u00e1rios.<\/strong><\/p>\n<p><strong>Pacientes submetidos a cirurgias de grande porte ou sob alto risco de complica\u00e7\u00e3o podem receber imunonutrientes nas f\u00f3rmulas administradas, por exemplo.<\/strong>\u00a0 Tal cuidado pode modular e melhorar a resposta imunol\u00f3gica e favorecer o<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\"> processo de cicatriza\u00e7\u00e3o<\/a>.<a class=\"bibliography-sup\" title=\"Burden S, Todd C, Hill J, Lal S. Pre-operative nutrition support in patients undergoing gastrointestinal surgery. Cochrane Database Syst Rev. 2012;11:CD008879\" href=\"#\" data-bibliography-link=\"\">11<\/a><\/p>\n<p><strong>No mais, as evid\u00eancias apontam que eventuais per\u00edodos de jejum antes das cirurgias n\u00e3o devem ser prolongados.<\/strong> Na maior parte dos casos, eles devem limitar a restri\u00e7\u00e3o de alimentos s\u00f3lidos entre 6 e 8 horas antes da administra\u00e7\u00e3o da anestesia. Suplementos proteicos l\u00edquidos (em geral, \u00e0 base de maltodextrina) podem ser ingeridos com at\u00e9 2 horas de anteced\u00eancia, salvo presen\u00e7a de retardo no esvaziamento g\u00e1strico ou em procedimentos de emerg\u00eancia.<a class=\"bibliography-sup\" title=\"de-Aguilar-Nascimento, J. E., Salom\u00e3o, A. B., Waitzberg, D. L., Dock-Nascimento, D. B., Correa, M. I. T., Campos, A. C. L., ... &amp; Caporossi, C. (2017). Diretriz ACERTO de interven\u00e7\u00f5es nutricionais no perioperat\u00f3rio em cirurgia geral eletiva. Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es, 44, 633-648.\" href=\"#\" data-bibliography-link=\"\">1<\/a><\/p>\n<p>Portanto, a nutri\u00e7\u00e3o parenteral no pr\u00e9-operat\u00f3rio, com todos os cuidados necess\u00e1rios para manuten\u00e7\u00e3o de um estado nutricional adequado, pode ser fundamental para a redu\u00e7\u00e3o do risco em diferentes perfis de pacientes. <strong>Por outro lado, \u00e9 importante acompanhar o que dizem as diretrizes<a class=\"bibliography-sup\" title=\"de-Aguilar-Nascimento, J. E., Salom\u00e3o, A. B., Waitzberg, D. L., Dock-Nascimento, D. B., Correa, M. I. T., Campos, A. C. L., ... &amp; Caporossi, C. (2017). Diretriz ACERTO de interven\u00e7\u00f5es nutricionais no perioperat\u00f3rio em cirurgia geral eletiva. Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es, 44, 633-648.\" href=\"#\" data-bibliography-link=\"\">1<\/a>,<a class=\"bibliography-sup\" title=\"Weimann, A., Braga, M., Carli, F., Higashiguchi, T., H\u00fcbner, M., Klek, S., ... &amp; Singer, P. (2021). ESPEN practical guideline: Clinical nutrition in surgery. Clinical Nutrition, 40(7), 4745-4761.\" href=\"#\" data-bibliography-link=\"\">8<\/a> a respeito do manejo apropriado tamb\u00e9m no p\u00f3s-operat\u00f3rio, minimizando a chance de complica\u00e7\u00f5es nesse per\u00edodo. <\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>Continue navegando no<a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/category\/nutricao-parenteral\/\"> Unidos Pela Nutri\u00e7\u00e3o Cl\u00ednica para saber mais sobre nutri\u00e7\u00e3o parenteral.<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>O trauma cir\u00fargico tem implica\u00e7\u00f5es no metabolismo do paciente. Com isso, \u00e9 fundamental adequar as condutas para garantir a manuten\u00e7\u00e3o do estado nutricional adequado do indiv\u00edduo que est\u00e1 passando pela interven\u00e7\u00e3o. Sendo assim, vale sempre repassar o que uma das principais diretrizes1\u00a0obtidas a partir das melhores evid\u00eancias, trazem a respeito do manejo nutricional, incluindo a [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":1871,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[108,205,81,67,204],"class_list":["post-1870","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-desnutricao-hospitalar","tag-jejum","tag-nutricao-clinica","tag-nutricao-parenteral","tag-suplementacao-oral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Entenda qual o papel da nutri\u00e7\u00e3o parenteral no pr\u00e9-operat\u00f3rio<\/title>\n<meta name=\"description\" content=\"Nutri\u00e7\u00e3o parenteral no 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