Annals of Clinical Nutrition and Metabolism

Ultrasound Guided Vein Puncture Technique for Central Venous Catheterization: Sangchul Yun; Surg Metab Nutr 2014;5(2):33-36. Published online December 30, 2014

Abstract PDF: Several techniques have been introduced for ultrasound-guided central venous catheterization. There are three essential components for the ultrasound-guided needle approach; vessel, ultrasound probe, and puncture needle. According to these three essential components, we can obtain four different views. The ultrasound probe can be placed either in the short axis (probe is perpendicular to the course of the vein) or in the long axis (probe is parallel to the course of the vein) of the internal jugular vein. In addition, the puncture needle can have two planes, in-plane (needle runs parallel to the long axis of the probe) or out-of-plane (needle is at right angles to the long axis of the probe) of the ultrasound probe. The operator should fully understand these techniques in order to improve the result of ultrasound guided central venous catheterization. (Surg Metab Nurtr 2014;5:33-36)

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The Effect of Early Enteral Feeding in Nutritional Status after Living Donor Liver Transplantation: Min Jung Kim, Jong Man Kim, Sung-Hye Kim, Hyun Jung Kim, Gyu-Seong Choi, Choon Hyuck David Kwon, Miyong Rha, Young Yun Cho, Jae-Won Joh, Suk-Koo Lee; Surg Metab Nutr 2014;5(2):37-42. Published online December 30, 2014

Abstract PDF: Purpose: Malnutrition is common in patients with end-stage liver disease and is a risk factor for post-transplant morbidity. The goal of this study was to assess the effect of an enteral feeding diet in patients undergoing living donor liver transplantation (LDLT).
Materials and Methods: Between January 2013 and May 2013, 17 patients underwent LDLT and enrolled in the randomized controlled study. Early enteral feeding group (EN group, n?8) was defined as patients with an enteral feeding diet and the control group (n?9) was defined as patients who received an oral diet after gas out. We identified the clinical characteristics and nutritional status before and after LDLT in each group.
Results: Median age and the model for end-stage liver disease (MELD) score were 52 years (range, 36∼65 years) and 11 points (range, 6∼22 points), respectively. All patients in the EN group tolerated and did not show ileus, nausea, or vomiting. There was no statistical difference in clinical characteristics between EN group and control group. The mid-arm circumference and mid-arm muscle circumference in the EN group were higher than in the control group at 1 week and 1 month after LDLT (P<0.05). The subjective global assessment in the EN group was lower than in the control group at 1 week and 1 month after LDLT (P<0.05). However, the change of triceps skin fold, body mass index, and ratio of body weight to ideal body weight in each group did not reach a significant level.
Conclusion: Our results suggest that early enteral feeding may improve postoperative nutritional status and hasten recovery after LDLT. (Surg Metab Nurtr 2014;5:37-42)

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Nutritional Support for Intensive Care Unit (ICU) Patients: Dae Wook Hwang, Seong-Ho Kong, Jun Seok Park, Ji Won Park, Kyung Won Seo, In Kyu Lee, Mi Ran Jeong, Hoon Hur, Hyuk-Joon Lee, Guideline and Clinical Trial Committee of the Korean Society of Surgical Metabolism and Nutrition; Surg Metab Nutr 2014;5(2):43-46. Published online December 30, 2014

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Nutritional Support for Patients with Surgical Complications: Ji Won Park, In Kyu Lee, Seong-Ho Kong, Jun Seok Park, Kyung Won Seo, Mi Ran Jeong, Dae Wook Hwang, Hoon Hur, Hyuk-Joon Lee, Guideline and Clinical Trial Committee of the Korean Society of Surgical Metabolism and Nutrition; Surg Metab Nutr 2014;5(2):47-55. Published online December 30, 2014

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