我们对重症患者的微量营养素有什么了解? 一个叙事审查
Angelique M E de Man1, Christian Stoppe2, Kristine W A C Koekkoek3
1Department of Intensive Care; Amsterdam Cardiovascular Sciences, Amsterdam UMC, location Vrije Universiteit, Amsterdam, the Netherlands.
JPEN. Journal of parenteral and enteral nutrition
|November 18, 2024
概括
微量营养素 (MN) 状态对于重症患者至关重要. 本综述指导研究,建议基础需求和针对缺陷的向治疗,而不是高剂量单一治疗.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 营养生物化学 营养生物化学
背景情况:
- 微量营养素 (MN) 状态的改变与严重病患者的并发症和不良结果有关.
- 优化MN状态可能成为重症监护机构潜在的辅助疗法.
研究的目的:
- 审查和综合有关重症患者个别微量营养素 (维生素A,B复合物,C,D,E;铜,铁,,;卡尼丁) 的现有数据.
- 通过确定相关的MN,其角色和最佳管理策略来指导未来的研究.
主要方法:
- 由欧洲重症监护医学协会的MN小组进行的叙事审查.
- 包括观察性研究,因为大多数MN的干预数据有限.
- 专注于过去十年中最相关和最受研究的MN.
主要成果:
- 总结了重症患者中选择的MNs的形式,功能,需求,危险因素,治疗,剂量和临床影响.
- 强调不建议高剂量MN单疗.
- 强调提供基本的日常需求,增加特定条件的剂量,并治疗发现的缺陷.
结论:
- 重新平衡研究策略和优先事项是必要的,以提高临床实践关于重症监护的MN.
- 提供正在进行的试验列表,并确定未来对重症患者群体中多种瘤的研究的优先领域.
更多相关视频
相关概念视频
Acute Respiratory Failure-V
123
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
123
Key Elements for Plant Nutrition
18.7K
Like all living organisms, plants require organic and inorganic nutrients to survive, reproduce, grow and maintain homeostasis. To identify nutrients that are essential for plant functioning, researchers have leveraged a technique called hydroponics. In hydroponic culture systems, plants are grown—without soil—in water-based solutions containing nutrients. At least 17 nutrients have been identified as essential elements required by plants. Plants acquire these elements from the...
18.7K
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
102
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
102
Pneumonia V: Nursing management and Prevention
1.9K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
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....
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....
1.9K
Respiratory Assessment: Purpose and Indications
1.0K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K
Microbial Nutrition
1
Organisms exhibit remarkable metabolic diversity, categorized based on how they acquire energy and carbon. These strategies enable survival in various ecological niches and are essential for maintaining energy flow and nutrient cycling within ecosystems.Energy and Carbon SourcesOrganisms are classified as phototrophs or chemotrophs based on energy acquisition. Phototrophs use light as their energy source, while chemotrophs rely on oxidizing chemical compounds. Further differentiation arises...
1


