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ECMO患者的能量需求:一个描述性的,回顾性的队列研究

Stacy L Pelekhaty¹, Raymond P Rector², Zhongjun J Wu³

¹Department of Clinical Nutrition, University of Maryland Medical Center, Baltimore, Maryland, USA.

Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition

|June 8, 2025

概括

间接热量计 (IC) 在体外膜氧化 (ECMO) 患者中提供准确的能量消耗 (EE). 这种新的IC方法显示EE明显低于预测,可能防止过度养.

科学领域:

关键护理医学关键护理医学
支持心肺血管的支持.
代谢监测是指对代谢的监测.

背景情况:

间接热量计 (IC) 在体外膜氧化 (ECMO) 患者中具有挑战性.
为ECMO患者开发了一种新的IC方法.
本研究将IC衍生的能源支出 (EE) 与标准预测方程进行比较.

研究的目的:

为ECMO患者提出和验证一种新的间接热量计方法.
用常见方程将测量的EE与预测的EE进行比较.
评估ECMO持续时间和管类型对EE的影响.

主要方法:

使用Q-NRG+热量计与适应ECMO氧化器的CO2传感器进行的IC.
计算出ECMO特定的氧气消耗 (VO2) 和二氧化碳产量 (VCO2).
与25 kcal/kg,30 kcal/kg和米夫林圣杰尔方程相比,测量了EE.

主要成果:

分析了52名ECMO患者的90项评估.
测量的EE为1523±432千卡/天 (18.9±6.9千卡/公斤/天).
测量的EE明显低于所有预测值 (P < 0.001),差异在413-1099 kcal/day之间.

结论:

为ECMO患者提供了一种可行的间接热量计方法.
在ECMO患者中测量的EE明显低于预测.
实施IC可能有助于避免这一群体的过度养.

关键词:

在ECMO中,可以使用ECMO.间接测热仪间接测热仪间接测热仪营养评估营养评估

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