Perioperative Nutrition in the Orthopedic Surgical Patient

  • Barbara J. ChinEmail author


Surgery of any kind creates a metabolic stress and shifts the body into a catabolic state. The goal of nutrition before, during, and after surgery is to optimize a patient’s nutrition status to minimize catabolism and promote anabolism and healing. Orthopedic patients should be referred to a registered dietitian as early as possible if they are suspected to be malnourished, be undernourished, be obese, have uncontrolled diabetes mellitus, or have any other conditions that may compromise recovery from surgery. Enhanced Recovery After Surgery and early feeding protocols help mitigate the catabolic state created by surgery and promote healing. Registered dietitians (RDs) should be consulted to assess and develop a nutrition care plan for patients whose compromised nutritional status may put them at risk for adverse outcomes after surgery.


Nutrition ERAS Early feeding Obesity Diabetes Malnutrition 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Food and Nutrition ServicesHospital for Special SurgeryNew YorkUSA

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