Vol. 18 No. 3 (2014): Cardioanesthesiology (Special Issue)
FOLLOW-UP AND INTENSIVE CARE

The potential of early enteral nutrition in cardiac surgery

PDF (Русский)
  • S. Yefremov,
  • M. Deryagin,
  • V. Shmyrev,
  • A. Shilova,
  • N. Kikhtenko,
  • V. Lomivorotov
S. Yefremov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
M. Deryagin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
V. Shmyrev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
A. Shilova
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
N. Kikhtenko
Novosibirsk State Medical University
Bio
V. Lomivorotov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology
Bio
DOI: https://doi.org/10.21688/1681-3472-2014-3-27-33

Published 2014-07-15

Keywords

  • ENTERAL NUTRITION,
  • CARDIAC SURGERY,
  • INTENSIVE CARE

How to Cite

Yefremov, S., Deryagin, M., Shmyrev, V., Shilova, A., Kikhtenko, N., & Lomivorotov, V. (2014). The potential of early enteral nutrition in cardiac surgery. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 18(3), 27–33. https://doi.org/10.21688/1681-3472-2014-3-27-33

Copyright (c) 2014 Yefremov S.M., Deryagin M.N., Shmyrev V.A., Shilova A.N., Kikhtenko N.A., Lomivorotov V.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

The aim of this study was to assess the effects of standard solution for enteral nutrition (1 kcal/ml) and immune solution for enteral nutrition (1.3 kcal/ml, rich with glutamine) for early enteral nutrition of cardiac surgery patients with acute heart failure syndrome. Prospective randomized study of 40 patients (20 in standard group and 20 in immune group). Plasma concentrations of prealbumin and transferrin were analyzed at 1, 3, 5, 7 and 14 days. Plasma prealbumin was significantly higher at 14 day after surgery in immune group (0.130.01 and 0.21 0.1 g/l; р = 0.04). Transferrin was significantly higher in immune group on the 5 day (1.21 0.33 and 1.850.24 g/l; р = 0.0002), 7 day (1.280.39 and 1.750.37 g/l; р = 0.018) and 14 day (1.580.47 and 2.070.46 g/l; р = 0.044). Thus, results of study indicated on benefits of hypercaloric solution for enteral feeding enriched with glutamine in compare with standard isocaloric solution for early enteral nutrition of cardiac patients with acute heart failure.
PDF (Русский)

References

  1. Artinian V., Krayem H., DiGiovine B. // Chest. 2006. V. 129. P. 960-967.
  2. Marik P.E., Zaloga G.P. // Crit. Care Med. 2001. V. 29. P. 2264-2270.
  3. Heyland D., Dhaliwal R., Drover J. et al. // J. Parenter. Enteral Nutr. 2003. V. 27. P. 355-373.
  4. Kreymann K.G., Berger M.M., Deutz N.E. // Clin. Nutr. 2006. V. 25. P. 210-223.
  5. Mirski M.A., Lewin J.J. // Cont. Crit. Care. 2007. V. 4. P. 1-11.
  6. Ломиворотов В.В., Ефремов С.М. // Патология кровообращения и кардиохирургия. 2010. № 2. С. 57-61.
  7. Berger M.M., Revelly J.R., Cayeux M.C., Chiolero R.L. // Clin. Nutr. 2005. V. 24. P. 124-132.
  8. Barton R., Cerra F.B. // Chest. 1989. V. 96. P. 1153-1160.
  9. Druml W., Heinzel G., Kleinberger G. // Am. J. Clin. Nutr. 2001. V. 73 (5). P. 908-913.
  10. Schmidt J.J., Hafer C., Spielmann J. et al. // Nephron Clin. Pract. 2014. V. 126 (1). P. 62-66.
  11. Hellman N.E., Gitlin J.D. // Ann. Rev. Nutr. 2002. V. 22. P. 439-458.
  12. Cole R.N., Ruczinski I., Schulze K. et al. // J. Nutr. 2013. V. 143 (10). P. 1540-1548.
  13. Allen J.M. // Nutr. Clin. Pract. 2012. V. 27 (3). P. 335-339.
  14. McClave S.A., Martindale R.G., Kiraly L. // Curr. Opin. Clin. Nutr. Metab. Care. 2013. V. 16 (2). P. 202-208.