Should albumin be a conventional medication after gastrectomy?
10.3760/cma.j.issn.1008-5734.2019.03.010
- VernacularTitle:胃癌术后患者是否需要常规补充白蛋白?
- Author:
Yongqi QIAO
1
;
Weihua WANG
;
Yuanyuan DAI
;
XIEYIBIN
Author Information
1. 国家癌症中心/中国医学科学院北京协和医学院肿瘤医院药剂科 100021
- Publication Type:Journal Article
- Keywords:
Gastrectomy;
Postoperative period;
Albumins;
Hypoalbuminemia;
Pharmacists;
Pharmaceutical services
- From:
Adverse Drug Reactions Journal
2019;21(3):213-217
- CountryChina
- Language:Chinese
-
Abstract:
A 61-year-old male patient with gastric cancer received routine albumin supplementation after surgery,which resulted in hypoalbuminemia,increased abdominal drainage fluid and pleural effusion.Clinical pharmacists and surgeons did literature reviews and discussions,and finally reached consensuses on albumin administration of patients after gastric cancer surgery.The consensuses were as follows:(1) it is not recommended to conduct albumin supplementation routinely after gastric cancer surgery;(2) albumin is not an effective nitrogen source and it cost too much to be used as a source of postoperative nutrition or protein;(3) for patients with postoperative hypoproteinemia (＜30 g/L),albumin supplementation should be used after the surgical stress response period (day 4 after the surgery) and discontinued when the serum albumin is ＞30 g/L;(4) for patients with peritoneal and/or pleural effusion after surgery,the nature of the effusion should be defined firstly,and albumin can be supplemented only when the transudate is determined.
