在接受高流氧治疗和/或非侵入性机械通风的ICU患者的营养营养:营养营养研究
Olivia Reta-Pérez1, Manuel Colmenero-Ruiz2, Carmen Rosa Hernández-Socorro3
1Department of Intensive Care, Hospital Universitario de Gran Canaria Dr. Negrín, Universidad de Las Palmas de Gran Canaria (ULPGC), Barranco de la Ballena s/n, 35010 Las Palmas de Gran Canaria, Spain.
Nutrients
|May 11, 2024
概括
早期的热带肠道营养 (EN) 对于接受高流量鼻管或非侵入性通风的ICU患者来说是安全的. 这种方法很少出现并发症,并且可行,死亡率为14.8%.
科学领域:
- 关键护理医学 关键护理医学
- 胃肠病学 胃肠病学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 在需要呼吸支的重症患者中进行肠道营养 (EN) 是有争议的.
- 高流量鼻腔管 (HFNC) 和非侵入性机械通风 (NIMV) 在ICU中很常见.
研究的目的:
- 评估热带性EN在HFNC和/或NIMV的ICU患者的安全性和可行性.
- 分析90天死亡率,耐受性,副作用和传染性并发症.
主要方法:
- 在10个西班牙ICU进行前性,观察性,多中心的队列研究.
- 招募了149名需要HFNC和/或NIMV的患者.
- 收集的数据包括死亡率,耐受性,并发症和养路径.
主要成果:
- 死亡率为14.8%,其中死亡率为14.8%. 已故患者的年龄,严重程度得分和感染标志物都较高.
- 由于食并发症,在14.9%的患者中断了热带EN治疗.
- 基于EN路线的新感染没有显著差异;SOFA和尿素预测停止养.
结论:
- 早期的热带性EN对于接受非侵入性通风的急性呼吸衰竭患者来说是安全的和可行的.
- 与营养不良和传染性并发症有关.
- 结果与重症监护机构的类似研究相似.
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