相关实验视频
Updated: May 21, 2025

08:18
A Model of Chronic Nutrient Infusion in the Rat
Published on: August 14, 2013
12.6K
日本关键护理营养指南2024年
Kensuke Nakamura1, Ryo Yamamoto2, Naoki Higashibeppu3
1Department of Critical Care Medicine, Yokohama City University Hospital, 3-9 Fukuura, Kanazawa-ku, Yokohama, Kanagawa, 236-0004, Japan. mamashockpapashock@yahoo.co.jp.
Journal of intensive care
|March 22, 2025
概括
日本重症监护营养指南2024为重症监护中的营养治疗提供了最新的建议. 关键的更新包括早期肠道营养和成人前/共生菌,有利于重症患者.
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
- 基于证据的实践.
背景情况:
- 营养治疗对重症患者至关重要,随着证据的不断演变,需要更新指南.
- 日本重症监护医学学会修订了2016年的指南,以创建日本重症监护营养指南2024 (JCCNG2024).
研究的目的:
- 为医疗保健专业人员提供针对成人和儿科重症监护病房营养治疗的最新,基于证据的建议.
- 通过在重症监护机构的标准化和有效的营养管理来改善患者的结果.
主要方法:
- 开发遵循了推,评估,开发和评估 (GRADE) 系统的分级.
- 在多学科专家之间,通过使用修改后的Delphi方法的共识最终确定了建议.
- 这些指导方针涉及37个临床问题,包括免疫调节,特殊情况和儿科营养.
主要成果:
- 强烈建议成人:在48小时内提供早期肠道营养 (EN) 和前/共生菌.
- 对于成年人的弱点建议:营养方案,EN超越腹腔营养,高蛋白,后皮洛里克EN,连续EN,omega-3丰富的EN,益生菌和间接热量计.
- 对于儿童的弱点建议:在48小时内早期的EN,玻尿酸EN,以及能量/蛋白质密度高的配方. 建议对所有患者进行营养评估.
结论:
- "JCCNG 2024"提供了针对重症监护营养的全面,基于GRADE的建议.
- 传播将通过教育活动进行,根据全球研究,计划在4-6年内进行修订.
- 这些指南旨在加强临床实践,并指导对重症患者营养治疗的未来研究.
相关概念视频
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
288
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
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...
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...
288
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
52
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
52
Enteral Nutrition I: Orogastric and Nasogastric Feeding
158
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
158
Chronic Pancreatitis II: Collaborative Care
52
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
52
Standards of Care II
629
Nurses bear specific legal responsibilities under several federal statutes, including:
629
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
75
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,...
75

