在重症患者中测量和估计能量
1Department of Pharmacy, UF Health Shands Hospital, University of Florida College of Pharmacy, Gainesville, Florida, USA.
Current opinion in critical care
|March 5, 2024
概括
最近的指导方针建议在第一周的ICU中,重症患者的卡路里摄入量较低. 间接热量计可能比预测方程提供更准确的能量目标,尽管存在争议.
科学领域:
- 关键护理医学 关键护理医学
- 营养支持 营养支持
背景情况:
- 对重症患者的指导方针已经发展,最近的转变是,在重症的早期阶段,向不那么激进的热量输送转移.
- 在重症患者中确定精确的能量需求仍然是一个复杂和有争议的话题.
结论:
- 虽然间接热量计的长期死亡益处尚未确立,但其使用为优化重症患者的营养提供了潜在的优势.
- 精确的能源消耗评估对于严重疾病的适当营养管理至关重要.
- 需要进一步的研究来巩固间接热量计在改善临床结果中的作用.
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