| Theme | Nutritional Management of Patients with Renal Failure -- Suitable for Ages and Clinical Conditions | |
|---|---|---|
| Title | Nutritional management in perioperative hemodialysis patients | |
| Publish Date | 2005/12 | |
| Author | Taka-aki Nakada | Department of Emergency and Critical Care Medicine, Graduate School of Medicine, Chiba University |
| Author | Hiroyuki Hirasawa | Department of Emergency and Critical Care Medicine, Graduate School of Medicine, Chiba University |
| [ Summary ] | Nutritional management on perioperative hemodialysis patients is essential. However, some specific problems, such as increased protein catabolism and limitation of fluid intake for nutrition, are existed. The important points concerning nutritional management on perioperative hemodialysis patients are intake of sufficient calories and adequate amounts of properly balanced proteins. If oral intake or parenteral nutrition dose not provide sufficient energy intake, total parenteral nutrition (TPN) should be preferred even from preoperative stages. To accomplish ideal nutritional management, continuous hemodiafiltration (CHDF) is useful in allowing provision of sufficient fluid space for nutritional management of perioperative hemodialysis patients. | |