Preoperative Management of Surgical Patients Using Dietary Supplements

Cummings, Kenneth C.; Keshock, Maureen; Ganesh, Ravindra; Sigmund, Alana; Kashiwagi, Deanne T.; Devarajan, Jagan; Grant, Paul; Urman, Richard D.; Mauck, Karen F.

doi:10.1016/j.mayocp.2020.08.016

Cited by 12 publications

(4 citation statements)

References 121 publications

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“…To the best of our knowledge, the most recent clinical practice guideline on this topic is the “Preoperative Management of Surgical Patients Using Dietary Supplements: Society for Perioperative Assessment and Quality Improvement (SPAQI) Consensus Statement” 8 published in 2021, which recommends holding red clover for 2 weeks before procedures. The guideline also makes perioperative recommendations for 82 herbal supplements and is a highly recommended evidence-based resource.…”

Section: Discussionmentioning

confidence: 99%

Epidural Hematoma Associated with Red Clover Use After Epidural Injection: A Case Report

Puerta-Botero,

Jaramillo,

Restrepo-Garcés

et al. 2024

A&A Practice

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An epidural hematoma is a rare but devastating complication after interventional pain procedures. The etiology is multifactorial, including anatomical variations, inherited coagulation disorders, and consumption of anticoagulants or antiplatelet substances. Specifically, in regard to platelet aggregation, the consumption of herbal medicine is often forgotten as a potential cause for coagulation profile disorders, potentially leading to an epidural hematoma. We present the case of a patient who developed an epidural hematoma after a cervical epidural block, most likely associated with daily “red clover” consumption.

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Section: Discussionmentioning

confidence: 99%

Epidural Hematoma Associated with Red Clover Use After Epidural Injection: A Case Report

Puerta-Botero,

Jaramillo,

Restrepo-Garcés

et al. 2024

A&A Practice

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“…Doctors and nurses should ask patients directly about their use of nutrients and food supplements [ 42 ] and take a detailed medical history before surgery to prevent potential complications and adverse effects related to nutrients and food supplements during surgery [ 96 ]. According to a study conducted by Gamsız et al (2011), 28.2% of doctors ask patients about their use of nutrients and food supplements during their treatment or before prescribing [ 97 ].…”

Section: Discussionmentioning

confidence: 99%

“…This section was developed by the researcher based on the literature [ 4 , 13 , 24 , 28 , 29 , 32 , 35 , 42 , 44 , 50 – 74 ].…”

Section: Methodsmentioning

confidence: 99%

“…This section was developed by the researcher based on the literature [ 13 , 26 , 29 , 31 , 42 – 44 , 50 , 51 , 53 , 56 , 76 – 84 ]. It consists of questions on the interaction of nutrients and food supplements (garlic, onion, lemon, nettle, parsley, red pepper (capsicum), chia seed, celery, rosemary, sage, thyme, St. John's wort, turmeric, ginger, hawthorn, aloe vera, black tea, green tea, linden, lavender, chamomile, echinacea, calendula, clove, dandelion, ginseng, ginkgo biloba, cherry, blueberry, horse chestnut, liquorice, valerian, red clover, anise seed, ephedra, kava, fenugreek, black cohosh, burdock, cat's claw, mistletoe, hops, passionflower, bitter melon, devil's claw, coenzyme Q10, vitamin E, vitamin C, vitamin B12, vitamin D, fish oil, calcium, magnesium, iron, zinc, folic acid, alpha-lipoic acid, L-arginine, sports supplements, probiotics, weight-loss products) with the drug groups antihypertensive, anticoagulant, anaesthetic, analgesic, corticosteroid, antidiabetic, antidepressant.…”

Section: Methodsmentioning

confidence: 99%

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Knowledge levels of doctors and nurses working in surgical clinics about nutrients and food supplements, a multicentre descriptive study

Büyükkasap,

Yazıcı

2024

BMC Nurs

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Purpose The use of nutrients and food supplements is increasing worldwide. Nutrients and food supplements frequently used in the surgical period may cause complications and side effects. This study was conducted to determine the level of knowledge about sixty-one nutrients and food supplements among doctors and nurses working in surgical clinics. Design A multicentre descriptive, quantitative, cross-sectional study. Methods The study was conducted between 15 February and 31 May 2022 with a total of 410 participants, including 143 doctors and 267 nurses, working in the surgical clinics of 8 hospitals, including public, university and private hospitals, within the borders of one province in Turkey. Data were collected face-to-face using a questionnaire developed by the researchers, which included descriptive characteristics of the doctors and nurses and questions about sixty-one nutrients and food supplements. Results The median overall success score of the doctors and nurses participating in the study regarding the use of nutrients and food supplements was 3.20 out of 100 points, the median success score of complications and side effects of nutrients and food supplements in the surgical period was 7.06 out of 33 points, the median success score for discontinuation of nutrients and food supplements prior to surgery was 0.21 out of 16 points, and the median success score for drug interactions of nutrients and food supplements was 1.70 out of 51 points. In addition, it was found that the overall success scores of doctors and nurses regarding nutrients and food supplements increased statistically significantly with increasing age and working years. The total success score of doctors and nurses who received training in nutrients and food supplements was statistically significantly higher than that of doctors and nurses who did not receive training. Conclusion In conclusion, it was found that the level of knowledge of nutrients and food supplements among doctors and nurses working in surgical clinics was less than half or even close to zero. Therefore, it is recommended that training on nutrients and food supplements should be included in the undergraduate and postgraduate education of doctors and nurses in order to prevent complications, side effects, drug interactions and patient safety related to the use of nutrients and food supplements in the surgical period.

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Impact of the Integrative Oncology Scholars Program on Oncology Providers’ Key Knowledge of Dietary Supplements and Antioxidants for Providing Evidence-based Oncology Care

et al. 2023

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Preoperative Management of Surgical Patients Using Dietary Supplements

Cited by 12 publications

References 121 publications

Epidural Hematoma Associated with Red Clover Use After Epidural Injection: A Case Report

Epidural Hematoma Associated with Red Clover Use After Epidural Injection: A Case Report

Knowledge levels of doctors and nurses working in surgical clinics about nutrients and food supplements, a multicentre descriptive study

Impact of the Integrative Oncology Scholars Program on Oncology Providers’ Key Knowledge of Dietary Supplements and Antioxidants for Providing Evidence-based Oncology Care

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