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[Nutritional concepts for patients under intensive care]
K G Kreymann1, G de Heer, T Felbinger
1Klinik für Intensivmedizin, Universitätskrankenhaus Hamburg-Eppendorf. kreymann@uke.uni-hamburg.de
Pneumologie (Stuttgart, Germany)
|July 31, 2007
Summary
Standardized nutrition improves outcomes for critically ill patients. This concept combines enteral and parenteral nutrition, incorporating immune-modulating substrates for better patient management.
Area of Science:
- Critical care medicine
- Nutritional science
- Immunology
Context:
- Standardized nutrition is crucial for improving clinical outcomes in critically ill patients.
- Evidence-based trials are scarce, necessitating reliance on pathophysiological principles.
- Current nutritional strategies often lack comprehensive immunological considerations.
Purpose:
- To present a novel concept for combined enteral and parenteral nutrition in critically ill patients.
- To avoid hyperalimentation while addressing immunological aspects of nutrition.
- To facilitate seamless transitions between enteral and parenteral nutrition routes.
Summary:
- The proposed concept utilizes a combined enteral and parenteral nutrition approach with equivalent composition for easy transition.
- Nutritional targets are calculated by multiplying a base rate (24 kcal/kg BW/24 h) by a variable target factor (0.2–1.8).
- This strategy is enhanced with immune-modulating substrates like glutamine and antioxidants.
Impact:
- Offers a practical, evidence-informed approach to nutritional support in critical care.
- Addresses the need for standardized, yet flexible, nutritional interventions.
- Potential to improve patient recovery by optimizing metabolic and immunological responses.
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