营养疗法和危急疾病的逐步方法:与代谢阶段调整供应
Christian Stoppe1,2, Zheng-Yii Lee1,2,3, Yaseen M Arabi4
1Department of Anaesthesiology, Intensive Care, Emergency and Pain Medicine, University Hospital, Würzburg.
一项针对重症监护的新阶段营养策略将食与代谢阶段协调一致,避免早期全剂量输送造成伤害. 这种方法使营养个性化,通过仔细监测和调整,最大限度地降低过多或营养不良患者的风险.
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
- 代谢生理学 代谢生理学
背景情况:
- 常规营养治疗在重症监护中经常使用一种适合所有人的方法.
- 这忽略了危急疾病期间的动态代谢变化和患者变异性.
- 有证据表明,早期的全剂量营养可能不会带来任何好处,可能会造成伤害.
研究的目的:
- 为重症监护提供一个逐步,相应的营养策略.
- 为了使营养治疗与严重疾病的代谢阶段保持一致:急性代谢,稳定和恢复.
- 为优化营养支持提供一个精确的框架.
主要方法:
- 随机对照试验的审查和关键护理营养的当前证据.
- 危急疾病中的代谢阶段的概念模型.
- 建议一个逐步的,逐步调整的营养策略:从低开始,明智地推进,个性化.
主要成果:
- 早期的全剂量能量或蛋白质输送显示在严重器官衰竭中没有益处和潜在危害.
- 由于炎症和胰岛素抵抗,急性催化期需要允许的营养不良.
- 稳定和恢复阶段允许谨慎升级营养,以生物标志物和功能状态为指导.
结论:
- 一个逐步的,逐阶调整的营养策略为重症监护养提供了一种精确的方法.
- 这一策略通过将营养与代谢能力相匹配,最大限度地降低了过度养和营养不良的风险.
- 未来的研究应该专注于验证生物标志物,识别代谢表型,并开发适应营养算法.
更多相关视频
09:17Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness
Published on: May 2, 2017
04:05Author Spotlight: Unveiling Prognostic Indicators in Heart Failure - The Role of Phase Angle and Bioelectrical Impedance Analysis
Published on: June 30, 2023
相关概念视频
Chronic Kidney Disease III: Interprofessional Care
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
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...
Chronic Pancreatitis II: Collaborative Care
Assessment:
Chronic Kidney Disease IV: Nursing Management
Enteral Nutrition I: Orogastric and Nasogastric Feeding
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
