Nutrition in Surgery and Critical CareDCRI Perioperative Nutrition focuses on the study of hospital-based treatments to improve preparation and recovery from surgery, major illness, and critical care. We put real science into improving patients' lives with interventions such as nutrition and exercise.
This work includes NIH and privately funded research that investigates the role of nutrition, exercise, the microbiome, probiotics, and other nutrition-related interventions such as protein delivery and sports nutrition to improve outcome and quality of life following acute/chronic illnesses.
Is Your Hospital Screening for Malnutrition and Treating It?
Research shows physicians who screened patients for malnutrition and treated it prior to the procedure had better patient outcomes. Only five days of intervention can lead to better nourishment and fewer complications from surgery.
However, evidence suggests physicians at many hospitals fail to implement evidence-based nutrition practices.
Screening for Malnutrition
Stay tuned for new Evidenced Based Perioperative Medicine (EB-POM) and American Society for Enhanced Recovery (ASER) – Perioperative Quality Initiative (POQI) Surgical Nutrition Guidelines and Consensus Statement.
Improving Hospital and Surgical Outcomes
The TOP-UP pilot trial
A randomized trial of supplemental parenteral nutrition in underweight and overweight critically ill patients
Are we Creating Surviviors or Victims in the ICU? Delivering targeted nutrition to improve outcomes. Curr Opin Crit Care. Aug;22(4):279-84, 2016 PMID: 27327244
Drover JW, et al. Arginine Supplementation in Surgical Patients. J Am Coll Surg. 2011;212:385-99
Understanding the Microbiome
Critical but overlooked: ICU patients’ gut bacteria
In pursuit of restorative treatments, researchers are examining changes to the microbiomes of critically ill patients
Wischmeyer PE, McDonald D, Knight R. Microbiome and Probiotic Therapy in Critical Care. Curr Opin Crit Care. Aug;22(4):347-53, 2016 PMID: 27327243
McDonald D, et al. The Extreme Dysbiosis of the Microbiome in Critical Illness. mSphere, 31;1(4). pii: e00199-16.2016, PMID: 27602409
Passion for Care
DCRI Perioperative Nutrition is led by Paul Wischmeyer, MD, whose passion for helping patients recover from illness and surgery arises from his personal experiences as both a doctor and a patient in the ICU. Wischmeyer, who has undergone more than 20 major surgeries, has personally experienced multiple ICU stays due to a childhood GI illness that took more than half of his intestinal tract. As a result, preparation for surgery/critical care and recovery from illness fuel Wischmeyer's dedication to teaching patients and caregivers worldwide.
POET Perioperative Nutrition Clinic
The Duke POET Perioperative Nutrition Clinic is designed exclusively to assess patients before surgery.
By performing a nutritional evaluation prior to surgical a procedure, physicians and patients can get a better understanding of patient readiness and develop a plan for good post surgical care.
Paul Wischmeyer, MD, EDIC
Professor of Anesthesiology and Surgery
Associate Vice Chair for Clinical Research, Dept. of Anesthesiology
Director of Perioperative Research, Duke Clinical Research Institute
Co-Director, Nutrition Support Service, Duke University Hospital
Timothy Miller, MB, ChB, FRCA
Associate Professor of Anesthesiology
Chief, Division of General, Vascular and Transplant Anesthesia
Director, Perioperative Medicine Fellowship,
Duke University Health System