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Nutrition in Abdominal Aortic Repair

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Diet and Nutrition in Critical Care

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Abstract

Typically patients after acute or elective surgical or endovascular repair of the abdominal aorta are admitted to the intensive care unit. Due to the nature of the disease and potential comorbidities involved, many patients have risk factors for poor nutritional status at intensive care unit admission. In addition, the surgical and anesthesiological procedures applied may impact on postoperative gastrointestinal function and interfere with essential nutritional interventions initiated during intensive care unit stay.

This chapter provides details on preoperative, perioperative, and postoperative factors that affect gastrointestinal function in patients undergoing abdominal aortic repair. These factors provide potential targets to influence and improve nutritional status and outcome of these patients. Combining targets in multimodal strategies may help to reduce postoperative gastrointestinal dysfunction, facilitate nutritional interventions in the postoperative period, and increase the odds for the best performance with respect to patient outcome.

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Abbreviations

AA:

Aortic aneurysm

AAA:

Abdominal aortic aneurysms

ASPEN:

American Society for Parenteral and Enteral Nutrition

BMI:

Body mass index

Cm:

Centimeter

COPD:

Chronic obstructive pulmonary disease

EEN:

Early enteral nutrition

EN:

Enteral nutrition

EPaNIC:

Early parenteral nutrition completing enteral nutrition in adult critically ill patients study

ESPEN:

European Society for Parenteral and Enteral Nutrition

EVAR:

Endovascular aortic repair

FI:

Food intolerance

GIF:

Gastrointestinal failure

GRV:

Gastric residual volume

IAH:

Intra-abdominal hypertension

IAP:

Intra-abdominal pressure

ICU:

Intensive care unit

LOS:

Length of stay

MBP:

Mechanical bowel preparation

NG:

Nasogastric

OAS:

Open aortic surgery

OR:

Odd’s ratio

PN:

Parenteral nutrition

RAAA:

Ruptured abdominal aortic aneurysms

SCCM:

Society of Critical Care Medicine

SIRS:

Systemic inflammatory response syndrome

SPN:

Supplemental parenteral nutrition

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Authors and Affiliations

  1. Department of Intensive Care Medicine, Gelderse Vallei Hospital, Hospital Medical Manager Care Division, Willy Brandtlaan 10, 6716 RP, Ede, The Netherlands

    Arthur R. H. van Zanten

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  1. Arthur R. H. van Zanten
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Correspondence to Arthur R. H. van Zanten .

Editor information

Editors and Affiliations

  1. Royal Free London Hospitals, Barnet General Hospital, London, UK

    Rajkumar Rajendram

  2. Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Rajkumar Rajendram

  3. King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia

    Rajkumar Rajendram

  4. Department of Nutrition and Dietetics, Division of Diabetes & Nutritional Sciences, Faculty of Life Sciences & Medicine, King’s College London, London, UK

    Victor R. Preedy

  5. Department of Biomedical Sciences, Faculty of Science & Technology, University of Westminster, London, UK

    Vinood B. Patel

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van Zanten, A.R.H. (2015). Nutrition in Abdominal Aortic Repair. In: Rajendram, R., Preedy, V.R., Patel, V.B. (eds) Diet and Nutrition in Critical Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7836-2_71

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  • DOI: https://doi.org/10.1007/978-1-4614-7836-2_71

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