TY - JOUR A1 - Stoppe, Christian A1 - Goetzenich, Andreas A1 - Whitman, Glenn A1 - Ohkuma, Rika A1 - Brown, Trish A1 - Hatzakorzian, Roupen A1 - Kristof, Arnold A1 - Meybohm, Patrick A1 - Mechanick, Jefferey A1 - Evans, Adam A1 - Yeh, Daniel A1 - McDonald, Bernard A1 - Chourdakis, Michael A1 - Jones, Philip A1 - Barton, Richard A1 - Tripathi, Ravi A1 - Elke, Gunnar A1 - Liakopoulos, Oliver A1 - Agarwala, Ravi A1 - Lomivorotov, Vladimir A1 - Nesterova, Ekaterina A1 - Marx, Gernot A1 - Benstöm, Carina A1 - Lemieux, Margot A1 - Heyland, Daren K. T1 - Role of nutrition support in adult cardiac surgery : a consensus statement from an International Multidisciplinary Expert Group on Nutrition in Cardiac Surgery T2 - Critical care N2 - Nutrition support is a necessary therapy for critically ill cardiac surgery patients. However, conclusive evidence for this population, consisting of well-conducted clinical trials is lacking. To clarify optimal strategies to improve outcomes, an international multidisciplinary group of 25 experts from different clinical specialties from Germany, Canada, Greece, USA and Russia discussed potential approaches to identify patients who may benefit from nutrition support, when best to initiate nutrition support, and the potential use of pharmaco-nutrition to modulate the inflammatory response to cardiopulmonary bypass. Despite conspicuous knowledge and evidence gaps, a rational nutritional support therapy is presented to benefit patients undergoing cardiac surgery. KW - High-risk cardiac surgery KW - Cardiopulmonary bypass KW - Systemic inflammatory response KW - Organ dysfunctions KW - Nutrition risk stratification KW - Underfeeding KW - Postoperative nutritional management KW - Supplemental parenteral nutrition KW - Enteral nutrition KW - Pharmaco-nutrition Y1 - 2017 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/47847 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-478474 SN - 1466-609X SN - 1364-8535 N1 - Open Access: This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. VL - 21 IS - 1, Art. 131 SP - 1 EP - 16 PB - BioMed Central ; Springer CY - London ; Berlin ; Heidelberg ER -