营养干预和重症监护后综合征:一个叙述性回顾
Claire Dupuis1,2, Jean-Charles Preiser3, Rebecca A Busch4
1Department of Intensive Care, HUB Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
概括
严重疾病引起的ICU-AW导致肌肉损失,影响恢复和生存. 个性化营养,以生物标志物和特定阶段的养为指导,是管理ICU-AW和改善患者结果的关键.
科学领域:
- 关键护理医学 关键护理医学
- 营养科学 营养科学
- 生理学 生理学 生理学
背景情况:
- 危急疾病的长期后果,包括身体,认知和心理障碍,正在引起人们的注意.
- 在ICU获得的弱点 (ICU-AW) 是由炎症,代谢,营养不良和不运动驱动的主要身体障碍.
- 肌肉消耗显著阻碍恢复,导致失去独立性,降低生活质量和增加死亡率.
研究的目的:
- 为了检查关键疾病中肌肉消耗的病理生理学.
- 审查营养在调节结果中的作用,包括重症监护后综合征.
- 讨论了解营养,生物标志物和个性化营养策略的最新进展.
主要方法:
- 现有文献的叙述性审查.
- 分析肌肉衰竭的病理生理学.
- 综合了最近关于营养和结果的数据.
主要成果:
- 营养不良是恢复的关键决定因素,但由于过度养/营养不良的风险,营养管理是复杂的.
- 建议采用个性化的营养策略,从低热量养开始,逐步推进到高能量,富含蛋白质的支持.
- 最近的证据表明,应谨慎避免过早摄入过多的蛋白质;监测工具和辅助策略,如免疫营养素和早期康复,显示出有前途.
结论:
- 优化营养对于缓解ICU-AW和改善患者康复至关重要.
- 需要进一步的研究来确定辅助策略的作用和风险-收益概况.
- 开发强大的生物标志物对于指导在重症监护中的个性化营养干预措施至关重要.
相关概念视频
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
1.2K
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...
1.2K
01:22Acute Kidney Injury VI: Nursing Management
541
Acute Kidney Injury (AKI) results in an inability to maintain fluid, electrolyte, and acid-base balance. Effective nursing management is critical in improving patient outcomes and includes comprehensive patient assessment and targeted interventions.Comprehensive Patient AssessmentA detailed history collection is essential, focusing on any recent infections, nephrotoxic medication use, or chronic conditions such as hypertension and diabetes that may contribute to AKI. During the physical...
541
01:28Acute Coronary Syndrome IV: Interprofessional Care
332
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
332
01:26Acute Coronary Syndrome V: Nursing Management
394
Nursing Assessment:Nursing management of acute coronary syndrome (ACS) involves taking the patient's history, focusing on primary complaints such as chest pain, dyspnea, and excessive sweating (diaphoresis), as well as other symptoms like back or jaw pain, nausea, vomiting, palpitations, dizziness, and fatigue. The nurse also reviews the patient's history of cardiac events, risk factors such as hypertension, diabetes, smoking, family history, and current medications.In the objective assessment,...
394
01:24Nephrotic Syndrome III : Nursing Management
372
Nursing management for nephrotic syndrome adapts as the disease progresses, with strategies evolving to address advancing symptoms and complications.Early-Stage Management In the early stages, nursing interventions for nephrotic syndrome resemble those used in managing acute glomerulonephritis, focusing on symptom monitoring, fluid balance, and managing mild to moderate edema.Vital Signs: Regularly monitor blood pressure, pulse, respiratory rate, and temperature to promptly identify...
372
01:30Pneumonia V: Nursing management and Prevention
3.7K
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....
3.7K