{"id":41145,"date":"2026-02-03T11:00:00","date_gmt":"2026-02-03T14:00:00","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=41145"},"modified":"2026-01-28T15:15:30","modified_gmt":"2026-01-28T18:15:30","slug":"nutricao-perioperatoria","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/","title":{"rendered":"Nutri\u00e7\u00e3o Perioperat\u00f3ria: do rastreio \u00e0 alta"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Como_identificar_o_paciente_em_risco\" >Como identificar o paciente em risco?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Ferramentas_de_Triagem_Scores\" >Ferramentas de Triagem (Scores)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Avaliacao_Laboratorial_e_de_Composicao_Corporal\" >Avalia\u00e7\u00e3o Laboratorial e de Composi\u00e7\u00e3o Corporal<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Estrategias_no_Pre-Operatorio\" >Estrat\u00e9gias no Pr\u00e9-Operat\u00f3rio<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Pre-Habilitacao\" >Pr\u00e9-Habilita\u00e7\u00e3o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Abreviacao_de_Jejum_Protocolo_ERASACERTO\" >Abrevia\u00e7\u00e3o de Jejum (Protocolo ERAS\/ACERTO)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Imunonutricao\" >Imunonutri\u00e7\u00e3o<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Dietas_Especificas_para_Comorbidades\" >Dietas Espec\u00edficas para Comorbidades<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Manejo_Pos-Operatorio\" >Manejo P\u00f3s-Operat\u00f3rio<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/#Conquiste_a_aprovacao_e_acompanhe_mais_noticias\" >Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-1024x576.jpg\" alt=\"\" class=\"wp-image-41153\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A <strong>desnutri\u00e7\u00e3o<\/strong> \u00e9 um inimigo silencioso na cirurgia, atingindo at\u00e9 <strong>50% dos pacientes cir\u00fargicos<\/strong>. O trauma cir\u00fargico, por si s\u00f3, aumenta o consumo energ\u00e9tico basal (que gira em torno de 25-35 kcal\/kg\/dia), criando uma &#8220;tempestade perfeita&#8221; para o catabolismo.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-identificar-o-paciente-em-risco\"><span class=\"ez-toc-section\" id=\"Como_identificar_o_paciente_em_risco\"><\/span><strong>Como identificar o paciente em risco?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O limiar de suspei\u00e7\u00e3o deve ser baixo. Observe sempre perda ponderal, baixa ingesta e perda de massa muscular. N\u00e3o confie apenas no &#8220;olh\u00f4metro&#8221;; utilize ferramentas validadas:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-ferramentas-de-triagem-scores\"><span class=\"ez-toc-section\" id=\"Ferramentas_de_Triagem_Scores\"><\/span><strong>Ferramentas de Triagem (Scores)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>PONS (Preoperative Nutrition Screen):<\/strong> Uma ferramenta simples para triagem inicial. Considera risco se houver qualquer resposta positiva para:\n<ul class=\"wp-block-list\">\n<li>IMC &lt;18,5 (&lt;20 se idoso &gt;65 anos).<\/li>\n\n\n\n<li>Perda de peso n\u00e3o planejada &gt;10% nos \u00faltimos 6 meses.<\/li>\n\n\n\n<li>Redu\u00e7\u00e3o da ingesta alimentar &gt;50% na \u00faltima semana.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"647\" height=\"478\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62.png\" alt=\"\" class=\"wp-image-41147\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62.png 647w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62-300x222.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62-568x420.png 568w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-62-150x111.png 150w\" sizes=\"auto, (max-width: 647px) 100vw, 647px\" \/><\/figure>\n\n\n\n<p>Fluxograma do padr\u00e3o PONS. Fonte: Acervo de aulas do Grupo MedCof.<\/p>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>NRS-2002 (Nutritional Risk Screening):<\/strong> \u00c9 o padr\u00e3o ouro para pacientes hospitalizados.\n<ul class=\"wp-block-list\">\n<li><em>Como funciona:<\/em> Avalia o Estado Nutricional (IMC, perda de peso, ingesta) + Gravidade da Doen\u00e7a (estresse metab\u00f3lico).<\/li>\n\n\n\n<li><em>Idade:<\/em> Pacientes &gt; 70 anos ganham 1 ponto extra.<\/li>\n\n\n\n<li><em>Resultado:<\/em> <strong>Score &gt; 3<\/strong> indica risco nutricional e necessidade de interven\u00e7\u00e3o terap\u00eautica.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"857\" height=\"428\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64.png\" alt=\"\" class=\"wp-image-41149\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64.png 857w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64-300x150.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64-768x384.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64-841x420.png 841w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64-150x75.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-64-696x348.png 696w\" sizes=\"auto, (max-width: 857px) 100vw, 857px\" \/><figcaption class=\"wp-element-caption\">Tabela do padr\u00e3o NRS-2002. Fonte:<a href=\"https:\/\/www.researchgate.net\/profile\/Carlos-Arbeloa\/publication\/360470266\/figure\/tbl8\/AS:11431281121544564@1677011920331\/Nutritional-Risk-Screening-NRS-2002.png\">https:\/\/www.researchgate.net\/profile\/Carlos-Arbeloa\/publication\/360470266\/figure\/tbl8\/AS:11431281121544564@1677011920331\/Nutritional-Risk-Screening-NRS-2002.png<\/a>&nbsp;<\/figcaption><\/figure>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>ASG (Avalia\u00e7\u00e3o Subjetiva Global):<\/strong> Baseada em hist\u00f3ria cl\u00ednica (altera\u00e7\u00e3o de peso, sintomas gastrointestinais, capacidade funcional) e exame f\u00edsico (perda de gordura subcut\u00e2nea, edema, ascite). Classifica o paciente em:\n<ul class=\"wp-block-list\">\n<li>A: Bem nutrido.<\/li>\n\n\n\n<li>B: Moderadamente desnutrido (ou suspeito).<\/li>\n\n\n\n<li>C: Gravemente desnutrido.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"775\" height=\"593\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63.png\" alt=\"\" class=\"wp-image-41148\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63.png 775w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-300x230.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-768x588.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-549x420.png 549w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-80x60.png 80w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-150x115.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-63-696x533.png 696w\" sizes=\"auto, (max-width: 775px) 100vw, 775px\" \/><figcaption class=\"wp-element-caption\">Tabela de avalia\u00e7\u00e3o padr\u00e3o ASG. Fonte: <a href=\"https:\/\/www.researchgate.net\/publication\/26340928\/figure\/fig1\/AS:645338666917888@1530872136147\/FIGURA-1-Avaliacao-subjetiva-global-segundo-DETSKY-et-al-18.png\">https:\/\/www.researchgate.net\/publication\/26340928\/figure\/fig1\/AS:645338666917888@1530872136147\/FIGURA-1-Avaliacao-subjetiva-global-segundo-DETSKY-et-al-18.png<\/a>&nbsp;<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-avaliacao-laboratorial-e-de-composicao-corporal\"><span class=\"ez-toc-section\" id=\"Avaliacao_Laboratorial_e_de_Composicao_Corporal\"><\/span><strong>Avalia\u00e7\u00e3o Laboratorial e de Composi\u00e7\u00e3o Corporal<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Marcadores Bioqu\u00edmicos:<\/strong> A <strong>Albumina<\/strong> \u00e9 a mais usada (meia-vida 18-20 dias), mas exige cautela: ela \u00e9 uma prote\u00edna de fase aguda negativa. Isso significa que em processos inflamat\u00f3rios\/infecciosos ela cai naturalmente, n\u00e3o refletindo apenas desnutri\u00e7\u00e3o. Outras op\u00e7\u00f5es incluem Transferrina (meia-vida 8-9 dias) e Pr\u00e9-albumina (2-3 dias), que respondem mais r\u00e1pido.<\/li>\n\n\n\n<li><strong>Sarcopenia (Perda de Massa Muscular e For\u00e7a):<\/strong>\n<ul class=\"wp-block-list\">\n<li><em>Hand-grip test (Dinamometria):<\/em> Avalia for\u00e7a de preens\u00e3o palmar. Alterado se &lt; 26kg (homens) ou &lt; 16kg (mulheres).<\/li>\n\n\n\n<li><em>DEXA:<\/em> Padr\u00e3o-ouro para avaliar composi\u00e7\u00e3o corporal, mas pouco dispon\u00edvel na urg\u00eancia.<\/li>\n\n\n\n<li><em>Tomografia (\u00cdndice de Psoas):<\/em> Mede a \u00e1rea do m\u00fasculo psoas ao n\u00edvel de L3. \u00c9 extremamente \u00fatil pois muitos pacientes cir\u00fargicos j\u00e1 realizam TC abdominal por outros motivos.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"336\" height=\"454\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65.png\" alt=\"\" class=\"wp-image-41150\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65.png 336w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65-222x300.png 222w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65-311x420.png 311w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65-150x203.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-65-300x405.png 300w\" sizes=\"auto, (max-width: 336px) 100vw, 336px\" \/><figcaption class=\"wp-element-caption\">Sarcopenia do Psoas. Fonte: Acervo de aulas do Grupo MedCof.&nbsp;<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-estrategias-no-pre-operatorio\"><span class=\"ez-toc-section\" id=\"Estrategias_no_Pre-Operatorio\"><\/span><strong>Estrat\u00e9gias no Pr\u00e9-Operat\u00f3rio<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Se identificamos o risco, precisamos agir. A via preferencial \u00e9 sempre a <strong>Oral<\/strong> (mais fisiol\u00f3gica), seguida pela Enteral. A Parenteral fica reservada para quando o trato gastrointestinal n\u00e3o puder ser usado, devido ao maior custo e risco de infec\u00e7\u00e3o.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-pre-habilitacao\"><span class=\"ez-toc-section\" id=\"Pre-Habilitacao\"><\/span><strong>Pr\u00e9-Habilita\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Idealmente iniciada 4 a 6 semanas antes da cirurgia. Envolve um &#8220;combo&#8221; multimodal para preparar o paciente para a maratona que \u00e9 a cirurgia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exerc\u00edcios f\u00edsicos supervisionados (combate \u00e0 sarcopenia).<\/li>\n\n\n\n<li>Suporte psicol\u00f3gico.<\/li>\n\n\n\n<li>Tratamento de anemia e controle rigoroso de comorbidades.<\/li>\n\n\n\n<li>Interrup\u00e7\u00e3o do tabagismo (pelo menos 4-8 semanas antes) e etilismo.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-abreviacao-de-jejum-protocolo-eras-acerto\"><span class=\"ez-toc-section\" id=\"Abreviacao_de_Jejum_Protocolo_ERASACERTO\"><\/span><strong>Abrevia\u00e7\u00e3o de Jejum (Protocolo ERAS\/ACERTO)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Aquele jejum absoluto de 8h (&#8220;nada por boca ap\u00f3s a meia-noite&#8221;) \u00e9 obsoleto para a maioria dos pacientes.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Recomenda\u00e7\u00e3o:<\/strong> L\u00edquidos claros contendo carboidratos (<strong>maltodextrina<\/strong>) at\u00e9 <strong>2 horas<\/strong> antes da indu\u00e7\u00e3o anest\u00e9sica.<\/li>\n\n\n\n<li><strong>Benef\u00edcio:<\/strong> Melhora o controle glic\u00eamico, reduz a resist\u00eancia insul\u00ednica e a sensa\u00e7\u00e3o de sede\/fome, sem aumentar risco de broncoaspira\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Contraindica\u00e7\u00f5es (Quem mant\u00e9m o jejum cl\u00e1ssico):<\/strong> DM2 descompensado, gastroparesia, refluxo grave sintom\u00e1tico e obstru\u00e7\u00e3o intestinal.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-imunonutricao\"><span class=\"ez-toc-section\" id=\"Imunonutricao\"><\/span><strong>Imunonutri\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Uso de f\u00f3rmulas enriquecidas com imunomoduladores (Arginina, \u00d4mega-3 e Nucleot\u00eddeos).<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Indica\u00e7\u00e3o:<\/strong> Pacientes de <strong>alto risco nutricional<\/strong> (perda ponderal grave) ou cirurgias de grande porte (ex: oncol\u00f3gica abdominal, cabe\u00e7a e pesco\u00e7o).<\/li>\n\n\n\n<li><strong>Tempo:<\/strong> Deve ser usada por no m\u00ednimo <strong>7 dias<\/strong> no pr\u00e9-operat\u00f3rio.<\/li>\n\n\n\n<li><strong>Desfecho:<\/strong> Reduz complica\u00e7\u00f5es infecciosas (principalmente ferida operat\u00f3ria) e tempo de interna\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/?clientId=&amp;utm_campaign=newsletter&amp;utm_medium=banner&amp;utm_source=blog&amp;utm_content=inscricao#https:\/\/www.grupomedcof.com.br\/blog\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png\" alt=\"\" class=\"wp-image-39227\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/11\/Banner-MedCof-Plus-2200x460-11-1343x420-1.png 1343w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-dietas-especificas-para-comorbidades\"><span class=\"ez-toc-section\" id=\"Dietas_Especificas_para_Comorbidades\"><\/span><strong>Dietas Espec\u00edficas para Comorbidades<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A prescri\u00e7\u00e3o diet\u00e9tica deve ser ajustada \u00e0 patologia de base:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pulmonar (ex: DPOC):<\/strong> Dieta com <strong>menos carboidratos<\/strong> e mais gordura\/prote\u00edna. O metabolismo de carboidratos produz mais CO2, o que pode dificultar o desmame ventilat\u00f3rio.<\/li>\n\n\n\n<li><strong>Renal:<\/strong> Restri\u00e7\u00e3o de volume, pot\u00e1ssio, f\u00f3sforo e magn\u00e9sio. Por\u00e9m, aten\u00e7\u00e3o: se o paciente renal for cr\u00edtico ou sarcop\u00eanico, a restri\u00e7\u00e3o proteica cl\u00e1ssica pode ser relaxada para evitar catabolismo.<\/li>\n\n\n\n<li><strong>Hepatopata:<\/strong> Uso de lip\u00eddeos TCM (Triglicer\u00eddeos de Cadeia M\u00e9dia) pois sua absor\u00e7\u00e3o independe de sais biliares, e amino\u00e1cidos de cadeia ramificada (BCAA) que s\u00e3o metabolizados no m\u00fasculo, poupando o f\u00edgado e evitando encefalopatia.<\/li>\n\n\n\n<li><strong>Diab\u00e9tico:<\/strong> Foco em baixo \u00edndice glic\u00eamico, troca de carboidratos simples por lip\u00eddeos e fibras para retardar o esvaziamento g\u00e1strico e evitar picos glic\u00eamicos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-manejo-pos-operatorio\"><span class=\"ez-toc-section\" id=\"Manejo_Pos-Operatorio\"><\/span><strong>Manejo P\u00f3s-Operat\u00f3rio<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O objetivo \u00e9 a recupera\u00e7\u00e3o funcional r\u00e1pida.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Realimenta\u00e7\u00e3o Precoce:<\/strong> Deve ser estimulada (Protocolo ERAS). O intestino delgado recupera a motilidade horas ap\u00f3s a cirurgia. O suplemento nutricional oral j\u00e1 pode ser oferecido na dieta de prova.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"549\" height=\"515\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-66.png\" alt=\"\" class=\"wp-image-41151\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-66.png 549w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-66-300x281.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-66-448x420.png 448w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/image-66-150x141.png 150w\" sizes=\"auto, (max-width: 549px) 100vw, 549px\" \/><figcaption class=\"wp-element-caption\">Protocolo ERAS. Fonte: <a href=\"https:\/\/academiamedica.com.br\/blog\/saude-baseada-em-valor-o-exemplo-do-protocolo-eras-no-perioperatorio\">https:\/\/academiamedica.com.br\/blog\/saude-baseada-em-valor-o-exemplo-do-protocolo-eras-no-perioperatorio<\/a>&nbsp;<\/figcaption><\/figure>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Balan\u00e7o H\u00eddrico:<\/strong> Evitar hiper-hidrata\u00e7\u00e3o (&#8220;paciente encharcado&#8221;). O excesso de cristaloides causa edema de al\u00e7as (piorando o \u00edleo paral\u00edtico) e congest\u00e3o pulmonar. A hidrata\u00e7\u00e3o deve ser guiada por metas.<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li><strong>S\u00edndrome de Realimenta\u00e7\u00e3o:<\/strong> Aten\u00e7\u00e3o redobrada em pacientes graves que ficaram muito tempo em jejum (&gt; 5 dias). A reintrodu\u00e7\u00e3o abrupta da dieta gera um pico de insulina que joga Pot\u00e1ssio, F\u00f3sforo e Magn\u00e9sio para dentro da c\u00e9lula, causando hipofosfatemia grave, arritmias e morte. Comece devagar e reponha eletr\u00f3litos!<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conquiste-a-aprovacao-e-acompanhe-mais-noticias\"><span class=\"ez-toc-section\" id=\"Conquiste_a_aprovacao_e_acompanhe_mais_noticias\"><\/span><strong>Conquiste a aprova\u00e7\u00e3o e acompanhe mais not\u00edcias!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Gostou do conte\u00fado? Continue acompanhando nosso blog para ficar por dentro das principais&nbsp;<strong>not\u00edcias sobre&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">resid\u00eancia m\u00e9dica,<\/a>&nbsp;editais e&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\" target=\"_blank\" rel=\"noreferrer noopener\">oportunidades que podem transformar sua carreira!<\/a><\/strong><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"HXPipwpTTn8\"><iframe loading=\"lazy\" title=\"Entenda sobre Anemia ferropriva, suplementa\u00e7\u00e3o de ferro e talassemia. Com Dra. J\u00falia Sion\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/HXPipwpTTn8?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>O trauma cir\u00fargico, por si s\u00f3, aumenta o consumo energ\u00e9tico basal, por isso, \u00e9 importante ficar de olho na desnutri\u00e7\u00e3o!<\/p>\n","protected":false},"author":21,"featured_media":41153,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[3488,3487],"ppma_author":[3617],"class_list":{"0":"post-41145","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-desnutricao","9":"tag-pre-operatorio"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Nutri\u00e7\u00e3o Perioperat\u00f3ria: do rastreio \u00e0 alta - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"O trauma cir\u00fargico, por si s\u00f3, aumenta o consumo energ\u00e9tico basal, por isso, \u00e9 importante ficar de olho na nutri\u00e7\u00e3o do paciente!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nutri\u00e7\u00e3o Perioperat\u00f3ria: do rastreio \u00e0 alta\" \/>\n<meta property=\"og:description\" content=\"O trauma cir\u00fargico, por si s\u00f3, aumenta o consumo energ\u00e9tico basal, por isso, \u00e9 importante ficar de olho na nutri\u00e7\u00e3o do paciente!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/nutricao-perioperatoria\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-03T14:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2026\/01\/Blog-MedCof-2026-01-28T151348.778.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Kiara Adelino\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Kiara Adelino\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/\"},\"author\":{\"name\":\"Kiara Adelino\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/db19a651f86c5fc202d6eee744fd3292\"},\"headline\":\"Nutri\u00e7\u00e3o Perioperat\u00f3ria: do rastreio \u00e0 alta\",\"datePublished\":\"2026-02-03T14:00:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/\"},\"wordCount\":1021,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2026\\\/01\\\/Blog-MedCof-2026-01-28T151348.778.jpg\",\"keywords\":[\"Desnutri\u00e7\u00e3o\",\"Pr\u00e9-Operat\u00f3rio\"],\"articleSection\":[\"Cirurgia Geral\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/nutricao-perioperatoria\\\/\",\"name\":\"Nutri\u00e7\u00e3o Perioperat\u00f3ria: do rastreio \u00e0 alta - 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