在COVID-19的重症患者中进行营养管理:一项回顾性多中心研究
Justyna Karolina Danel1, Maria Taborek1, Agnieszka Nowotarska1
1Student Scientific Association at the Department of Anaesthesiology and Intensive Care, Department of Anaesthesiology and Intensive Care, Faculty of Medical Sciences, Medical University of Silesia in Katowice, Poland.
对于严重的COVID-19患者,波兰ICU中的营养治疗有显著的差异. 卡路里和蛋白质的目标往往没有得到满足,这凸显了在重症监护营养中需要标准化指导方针的需要.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 传染病流行病学 传染病流行病学
背景情况:
- 营养治疗对于严重疾病至关重要,但在严重的COVID-19中存在挑战.
- 在重症监护病房 (ICU) 中,营养管理协议存在显著的变化.
研究的目的:
- 分析波兰ICU中严重COVID-19患者的营养治疗方法.
- 为了识别能量和蛋白质目标输送的变化.
主要方法:
- 对波兰ICU中的129名COVID-19患者进行了回顾性,多中心的观察研究.
- 在第8天使用哈里斯-本尼迪克特 (HB),米夫林圣杰尔 (MsJ) 和ESPEN公式评估能量和蛋白质目标的营养管理.
主要成果:
- 达到热量目标的比例在62.5% (ESPEN) 到66.7% (MsJ) 之间.
- 根据ESPEN指南,蛋白质目标实现率达到70%,其中一个单位超过需求 (157%).
- 营养管理策略和给药途径各不相同,没有观察到对生物化学参数的影响.
结论:
- 在波兰ICU中观察到重症COVID-19患者的营养治疗中的实质性差异.
- 这些发现强调了在这种患者群体中制定和实施清晰,标准化的关键护理营养指南的必要性.
更多相关视频
09:17Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
Published on: May 2, 2017
09:36Halogenated Agent Delivery in Porcine Model of Acute Respiratory Distress Syndrome via an Intensive Care Unit Type Device
Published on: September 24, 2020
相关概念视频
Acute Respiratory Failure-V
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Pneumonia V: Nursing management and Prevention
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Acute Pancreatitis II: Clinical Manifestations and Management
Pneumonia IV: Management
Bacterial Pneumonia Treatment
For bacterial pneumonia, antibiotics serve as the cornerstone of therapy. Initial treatment often begins with empirical antibiotics, tailored to the anticipated causative organism and adjusted based on culture results. Key antibiotic choices include:
Chronic Pancreatitis II: Collaborative Care
Assessment:
