PERI-OPERATIVE NUTRITION IN CRITICALLY ILL SURGICAL PATIENTS

Abstract

Challenges still lie ahead in understanding and advising medical technology for the monitoring and evaluation of the five niches of the human body for constant changes (predictable and unpredictable). Consequently, adequate evaluation technologies should be advised and parameters defined. Furthermore, the relationships between nutritional complications and each body layer should be considered. Not all levels of inquiry are supported by medical technology. This gap calls for further research on issues such as the evaluation of physiologic and metabolic evaluation. ICU physicians and surgeons, however, could be educated to recognize these inquiry pathways in order for them to maintain personalized nutritional support, i.e. identify, define, and resolve comorbidity situations and corresponding nutrition complications. A personalized approach entails the definition of different critical parameters at different scales and levels, acknowledging perceived modifications for each niche of the human body in accordance with the corresponding monitoring activities (i.e. physiological, metabolic, pathological, and molecular perspectives). The relationships (e.g. priorities and prediction rules) between resources, agents, and tasks in the suggested ontology should be advised. These relationships should define such aspects as hierarchy between events and tasks. Defining the specific nutrition supplement to affect various body niches could result in a significant contribution to the monitoring of nutritional complications, consequently paving the way towards an innovative nutrition support paradigm. Untangling complexity entails not only the identification and the understanding of proposed interventions, but also the ontological perception of the human body and monitoring process.