Enteral and/or parenteral nutrition in the critically ill. An algorithm as a possible basis for decision-making

被引:0
|
作者
Weimann, A. [1 ]
机构
[1] Klinikum St Georg gGmbH Leipzig, Abt Klin Ernahrung, Klin Allgemein Viszeral & Onkol Chirurg, Delitzscher Str 141, D-04129 Leipzig, Germany
关键词
Critical illness; Nutrition therapy; Energy intake; Malnutrition; Decision aids; SEPTIC PATIENTS; INTENSIVE-CARE; MORTALITY; SUPPORT; IMPACT; TRIAL;
D O I
10.1007/s00063-015-0068-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Taking into account new data and recent clinical controversies regarding nutritional support within the first 7 days of critical illness, early enteral nutrition is recommended. A normocaloric goal of 25 kcal/kg body weight/day should be achieved. In case of inadequate enteral tolerance, parenteral supplementation starting between day 3 and 5 should be selectively restricted to primarily malnourished patients and those with high risk for complications and prolonged stay in the intensive care unit. This can be summarized in a clinical algorithm.
引用
收藏
页码:525 / 528
页数:4
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