Medical Nutrition Therapy in Critically Ill Patients Treated on Intensive and Intermediate Care Units: A Literature Review

被引:14
作者
Lugli, Andrea Kopp [1 ,2 ,3 ]
de Watteville, Aude [4 ]
Hollinger, Alexa [1 ,2 ,3 ]
Goetz, Nicole [3 ,5 ]
Heidegger, Claudia [4 ]
机构
[1] Univ Hosp Basel, Intens Care Unit, CH-4031 Basel, Switzerland
[2] Univ Hosp Basel, Intermediate Care Unit, Intens Care Med, CH-4031 Basel, Switzerland
[3] Univ Hosp Basel, Dept Anesthesiol, CH-4031 Basel, Switzerland
[4] Geneva Univ Hosp, Dept Acute Med, Div Intens Care, CH-1205 Geneva, Switzerland
[5] Univ Hosp Basel, Endocrinol Diabet & Metab, CH-4031 Basel, Switzerland
关键词
nutritional support; medical nutrition therapy; intensive care unit; intermediate care unit; critically ill patients; EARLY ENTERAL NUTRITION; SUPPLEMENTAL PARENTERAL-NUTRITION; MECHANICALLY VENTILATED PATIENTS; REFEEDING SYNDROME; ENERGY-EXPENDITURE; CLINICAL-PRACTICE; PROTEIN-REQUIREMENTS; INDIRECT CALORIMETRY; ESPEN GUIDELINES; CRITICAL ILLNESS;
D O I
10.3390/jcm8091395
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Medical nutrition therapy in critically ill patients remains challenging, not only because of the pronounced stress response with a higher risk for complications, but also due to their heterogeneity evolving from different phases of illness. The present review aims to address current knowledge and guidelines in order to summarize how they can be best implemented into daily clinical practice. Further studies are urgently needed to answer such important questions as best timing, route, dose, and composition of medical nutrition therapy for critically ill patients and to determine how to assess and to adapt to patients' individual needs.
引用
收藏
页数:18
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