Nutrition assessment and management of left ventricular assist device patients.
Nutrition evaluation and support is an integral component of left ventricular assist device (LVAD) therapy. Malnutrition in the LVAD patient contributes to a host of post-operative problems, such as infection and limited functional capacity, which compromise long-term outcomes. Comprehensive pre-operative evaluation of the LVAD patient should include a nutrition assessment and formalized plan to initiate and advance nutrition support while addressing the metabolic imbalances associated with heart failure. An interdisciplinary approach, including a nutrition support team, is desirable to manage these patients effectively. This article reviews essential aspects regarding nutrition management of these patients.
Holdy
Kalman
K
Nutrition & Metabolic Support Service, Sharp Memorial Hospital, San Diego, California, USA.
Dembitsky
Walter
W
Eaton
Laura L
LL
Chillcott
Suzanne
S
Stahovich
Marcia
M
Rasmusson
Brad
B
Pagani
Francis
F
D002100:Cachexia / Q000150:complications; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D004041:Dietary Fats / Q000008:administration & dosage; D004044:Dietary Proteins / Q000008:administration & dosage; D004573:Electrolytes / Q000008:administration & dosage; D004734:Energy Metabolism; D006333:Heart Failure / Q000150:complications / Q000378:metabolism / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D044342:Malnutrition / Q000150:complications; D018977:Micronutrients / Q000008:administration & dosage; D009752:Nutritional Status; D018529:Nutritional Support / Q000379:methods*; D009765:Obesity / Q000150:complications; D010348:Patient Care Team; D011183:Postoperative Complications / Q000628:therapy*; D011300:Preoperative Care; D012720:Severity of Illness Index
D004040:Dietary Carbohydrates; D004041:Dietary Fats; D004044:Dietary Proteins; D004573:Electrolytes; D018977:Micronutrients