在非侵入性呼吸辅助期间的营养
Pierre Singer1,2, Eyal Robinson2, Moran Hellerman-Itzhaki2
1Herzlia Medical Center, Intensive Care Unit, Herzlia.
接受非侵入性通风 (NIV) 或高流量鼻腔管 (HFNC) 氧气治疗的患者面临营养不良的风险. 调整营养支持对于管理这些呼吸衰竭患者至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 呼吸系统疗法 呼吸系统疗法
- 营养科学 营养科学
背景情况:
- 非侵入性通风 (NIV) 和高流量鼻腔管 (HFNC) 广泛用于呼吸衰竭,特别是在COVID-19后.
- 这些呼吸支方法可能会干扰患者的饮食能力,造成"呼吸或吃"困境.
- 营养不良是需要呼吸辅助的患者的一个重大问题.
研究的目的:
- 确定患有营养不良风险的患者需要医疗营养治疗.
- 了解NIV和HFNC设备的机制.
- 为NIV或HFNC患者提供适应的营养指导.
主要方法:
- 审查有关呼吸系统支持和营养挑战的当前文献.
- 使用经过验证的工具评估营养不良风险 (例如,全球营养不良领导倡议).
- 分析NIV和HFNC对吞和养的影响.
主要成果:
- 全球营养不良领导倡议已在NIV上对ICU患者进行验证.
- 许多接受NIV的患者营养不良.
- HFNC可能会使食障碍恶化,而NIV可能会改善吞反射.
- 新技术可以提高整个养的安全性和有效性.
结论:
- 需要NIV的患者会面临重大的营养挑战.
- 关键步骤包括评估营养状况和消化不良.
- 选择适当的呼吸辅助和调整营养治疗 (口腔,肠道,亲肠道) 是必不可少的.
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