Surgical Recovery in the Cardiac Patient

Did you know?

72% of malnourished patients experience a complication post surgery.2

Major infectious complications increase risk of mortality by more than 5-fold.3,4

Preoperative fasting in cardiac surgery patients with progressive heart failure, may further aggravate symptoms such as: dyspnea, gut edema and hepatic congestion, which may result in early satiety and nausea.5

Nearly 20% of cardiac surgery patients may be at risk of malnutrition.1

Can nutrition aid in your cardiac patient’s recovery?

Two Types of Surgical Nutrition

2. Immunonutrition—a blend of protein, arginine and fish oil has been associated with reduced surgical site infections, decreased complications, shortened length of stay and decreased cost of care.*

One study using the immunonutrition tube feeding formula Pivot® in post operative cardiac patients showed the following compared to a standard enteral formula:

1. Complex Carbohydrate Loading—delivers fuel to the body prior to surgery versus fasting.

Reduce preoperative hunger, thirst and anxiousness6,7*

Reduce postoperative insulin resistance8*

Reduce postoperative nausea and vomiting9,10*

4 DAYReduction in

median post-op length of stay11

P value = .002

38.8% Reduction in any

infectious complications11

P value =.048

Ensure Surgery —Specially designed oral nutritional supplement to support immunehealth and recovery from surgery

©2018 Abbott Laboratories 182473/December 2018 LITHO IN USA

Abbott Nutrition has an array of products to aid in your patient’s surgical recovery

Pivot—immune modulating enteral nutrition for metabolically stressed patients requiring tube feeding

References: 1. Chermesh, I., Hajos, J., Mashiach, T., Bozhko, M., Shani, L., Nir, R.-R., & Bolotin, G. (2014). Malnutrition in cardiac surgery: food for thought. European Journal of Preventive Cardiology, 21(4), 475–483. 2. Meguid MM et al. Complications of abdominal operations for malignant disease. Am J Surg 1988;156:341-345. 3. Michalopoulos A, Geroulanos S, Rosmarakis ES, et al. Frequency, characteristics, and predictors of microbiologically documented nosocomial infections after cardiac surgery. Eur J Cardiothorac Surg. 2006;29: I-358 to I-365. 4. Fowler VGJ, O’Brien SM, Muhlbaier LH, et al. Clinical predic tors of major infections after cardiac surgery. Circulation. 2005;112:I358–I365. 5. Hill A, Nesterova E, Lomivorotov V, et al. Current Evidence about Nutrition Support in Cardiac Surgery Patients-What Do We Know?. Nutrients. 2018;10(5):597. Published 2018 May 11. doi:10.3390/nu10050597. 6. Hausel J, et al. Anesth Analg. 2001;93:1344-1350. 7. Canbay Ö, et al. Int Urol Nephrol. 2014;46(7):1329-1333. 8. Wang ZG, et al. Br J Surg. 2010;97(3):317-327. 9. Hausel J, et al. Br J Surg. 2005;92(4):415-421. 10. Singh BN, et al. Surg Endosc. 2015;29(11):3267-3272. 11. Bedi M et al. JPEN 2011;35:139.

* These claims are derived from studies in which products with the same active ingredients as Ensure Pre-Surgery and Ensure surgery were used. The studies were not conducted using Abbott product.

Ensure Pre-Surgery—Specially designed to help reduce insulinresistance after surgery and improve patient outcomes