How do you assess your patient's nutritional status? Why is the nutritional assessment important? What is undernutrition or severe nutritional risk?

What are the essential components of the nutritional assessment? What labs are important? What does this have to do with surgery? How confident are you with surgical nutrition?


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In this video on Learning Nutritional Assessment we are going to discuss the approach to your elective and critically ill patients, understand what it means to be at severe nutritional risk and look at the labs important in the evaluation of nutritional status.

It is impossible to understand why your patient needs nutrition if you don't have an adequate understanding of how to assess their nutritional status. When are you going to give TPN? When does your patient need that additional nutrition? When is your patient at severe nutritional risk?

WHAT YOU ARE GOING TO LEARN
1.). How to assess the nutritional status of your patient
2.). How to determine if your patient is at severe nutritional risk
3.). How to determine if your patient needs preoperative nutritional supplementation

FAST FORWARD WITH THESE TIMESTAMPS

Start 00:00
Review Clinical Case 01:38
Goals for Learning Nutritional Assessment 04:38
Why is it important to learn Nutritional Assessment 05:10
Key References ESPEN and Hitchhikers Guide 06:35
Importance of Undernutrition 07:27
Severe Nutritional Risk 09:52
Labs for Nutritional Assessment 11:22
Summary of Nutritional Assessment 13:07

CORRECTIONS
I made a mistake in the Labs section, the half life of Retinol Binding Protein is 10-12h not 10-12d

REFERENCES
1.). ESPEN Guidelines: [ Ссылка ]
2.). Hitchhiker's Guide to TPN: [ Ссылка ]
3.). Paper: Multivariable Risk for Surgical Site Infection: [ Ссылка ]

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WHO AM I?
I'm Dr. Erik Pearson, FACS and I am a board certified pediatric surgeon living in Las Vegas. I make surgical education videos on all topics in general surgery as well as talks on lifestyle design as a surgeon, book reviews, and studying effectively. I also write a weekly newsletter called the Saturday Six where I identify Six different discoveries of the week. You can get the weekly newsletter by signing up to the CITIZENSURGEON Community!

REFERENCES
Norton's General Surgery Textbook - [ Ссылка ]

DISCLAIMER
While my aim is to help educate you for the ward, the surgical ICU, the operating room and your exams remember these videos are not a replacement for your reading, your medical school and residency preparation and most important your own decision making. Good luck and enjoy!

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