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毒性ECMO患者的营养摄入量:北美PICU的一个单中心研究
Annika Lintvedt1, Isabella Purosky1, Benjamin Kogelschatz1,2
1Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, Grand Rapids, MI 49503, USA.
身体外膜氧化 (ECMO) 患者的营养摄入量受ECMO类型和血管活性异构分数 (VIS) 的影响. 毒性ECMO患者的摄入量较高,而增加的VIS与减少的热量摄入量相关.
科学领域:
- 关键护理医学 关键护理医学
- 儿科重症监护 儿科重症监护
- 营养支持 营养支持
背景情况:
- 优化营养摄入对于在体外膜氧化 (ECMO) 治疗的患者至关重要.
- 血管活性异基评分 (VISs) 经常用于评估重症患者的血液动力学支持.
研究的目的:
- 分析营养摄入量 (卡路里和蛋白质) 与血管活性异构分数 (VIS) 和ECMO特征相关.
- 确定影响ECMO患者营养分娩和延迟的因素.
主要方法:
- 对64名ECMO患者的数据进行了回顾性分析.
- 评估营养摄入量,每日VIS,ECMO并发症和营养支持中断.
- 统计分析包括盒子胡须图和回归分析.
主要成果:
- 较高的VIS与ECMO并发症,ECMO前的心脏骤停,儿科患者,静脉ECMO,心脏指示和离心有关.
- 毒性ECMO和离心与更高的热量和蛋白质摄入量相关.
- 每次VIS增加都与热量摄入量下降 -0.54有关;25%的患者经历了延迟营养.
结论:
- 毒性ECMO (非心脏) 与营养摄入量增加有关.
- 与其他养策略相比,肠道营养与较低的VIS相关.
- 研究结果为ECMO患者的营养管理提供了临床见解.
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