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治疗后的ICU轨迹:急性治疗后和治疗后的ICU营养护理
1Herzlia Medical Center ICU, Herzlia Israel and Reichman University, Herzlia, Israel.
集中治疗室的幸存者面临着身体和精神上的残疾,经常因营养不良和营养支持方面的挑战而恶化. 早期的体力活动和优化营养是改善恢复和减少ICU获得的弱点的关键.
科学领域:
- 关键护理医学 关键护理医学
- 重症监护病房 (ICU) 管理管理
- 在危急疾病中提供营养支持
背景情况:
- 越来越多的ICU幸存者经历了持续的身体和精神残疾.
- 营养不良是常见的ICU患者,复杂的营养支持由于诸如呼吸支,消,和难以确定能量/蛋白质需求等因素.
- 在ICU获得的软弱是影响患者康复的重大问题.
研究的目的:
- 突出ICU幸存者的营养支持方面的挑战.
- 强调认识到和最大限度地减少ICU所获得的弱点的重要性.
- 强调早期体育活动在ICU后康复中的作用.
主要方法:
- 在ICU幸存者的营养挑战的审查.
- 讨论用于确定能源目标的间接热量计.
- 强调最佳的蛋白质摄入量和早期体育活动协议.
主要成果:
- 营养支持通常因口服摄入的限制而受损.
- 精确确定能源和蛋白质目标仍然是一个挑战.
- 早期体育活动对于改善身体和认知结果至关重要.
结论:
- 优化能量和蛋白质摄入量,可能由间接热量计指导,至关重要.
- 早期实施体育活动是缓解ICU获得的弱点和增强恢复的关键策略.
- 解决营养不良和促进早期动员对于改善ICU幸存者的长期结果至关重要.
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