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Published on: May 2, 2017
[Immunonutrition in intensive care medicine]
1Klinik für Allgemein- und Visceralchirurgie, Klinikum St. Georg Leipzig, Delitzscher Strasse 141, Leipzig, Germany. arved.weimann@sanktgeorg.de
This review covers immunonutrition for critically ill patients receiving enteral and parenteral nutrition. It summarizes current guidelines for using immune-enhancing and anti-inflammatory supplements.
Area of Science:
- Clinical Nutrition
- Immunology
- Critical Care Medicine
Context:
- Critically ill patients often experience altered immune function and metabolic stress.
- Enteral and parenteral nutrition are crucial supportive therapies in critical care.
- Immunonutrition aims to modulate the immune response through specialized nutritional support.
Purpose:
- To review the concept and applications of immunonutrition in critically ill patients.
- To summarize current indications for immune-enhancing and anti-inflammatory nutritional supplements.
- To discuss these applications based on recent literature and clinical guidelines.
Summary:
- Immunonutrition involves targeted nutritional interventions to support the immune system in critically ill patients.
- Key components include immune-enhancing nutrients (e.g., arginine, glutamine, omega-3 fatty acids) and anti-inflammatory agents.
- The review synthesizes evidence for their use in both enteral and parenteral nutrition strategies.
Impact:
- Provides clinicians with an updated overview of immunonutrition in critical care.
- Informs evidence-based decisions regarding nutritional supplementation for immune support.
- Highlights the importance of tailored nutritional strategies for improving outcomes in critically ill populations.
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