Prehabilitation in cardiac surgery
Abstract
Open heart surgery ceased to be exotic procedure, they are performed more often, become more complex, indications for them are constantly expanding.
At the same time, cardiac patients are getting older and, as a rule, suffering from concomitant chronic diseases, often have protein–energy malnutrition and a decrease in functional physical reserve upon admission to the hospital.
In the context of the Enhanced Recovery After Surgery (ERAS) proposed back in the nineties of the last century by Henrik Kehlet, with the aim of improving treatment outcomes, along with the development of new therapeutic methods, optimization of the preoperative status of patients (physical, nutritional, psycho-emotional) seems to be quite important.
The article provides an overview of current ideas about the possibilities of multimodal complexes of preoperative preparation – prehabilitation and development prospects of this area of perioperative medicine.
Keywords:cardiac surgery, preoperative preparation, nutritional status, nutrition, prehabilitation, rehabilitation
Conflict of interests. The authors declare no conflict of interests.
For citation: Pasyuga V.V., Demin D.A., Demina E.V., Zheltova E.V., Kadykova A.V., Tarasov D.G., Leyderman I.N. Prehabilitation in cardiac surgery. Clin Experiment Surg. Petrovsky J. 2020; 8 (1): 112–21. doi: 10.33029/2308-1198-2020-8-1-112- 121 (in Russian)
Received 02.12.2019. Accepted 05.02.2020.
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