Ernährungskonzepte bei Intensivpatienten
Autor: | Thomas W. Felbinger, Axel Nierhaus, R. F. Meier, Ulrich Suchner, G. de Heer, K. G. Kreymann, Stefan Kluge |
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Rok vydání: | 2007 |
Předmět: | |
Zdroj: | Pneumologie. 61:574-580 |
ISSN: | 1438-8790 0934-8387 |
Popis: | The clinical outcome of critical ill patients can be improved by standardised nutrition. However, trials meeting the standard of evidence-based medicine are rare. For this reason, standards still have to be based on pathophysiological considerations. We describe a concept of combined nutrition for critically ill patients which avoids hyperalimentation and considers also immunological aspects. An equivalent composition of enteral and parenteral nutrition allows a transition between both forms without problems. The nutritional goal is defined by multiplication of the base rate, i. e., body weight in kg as delivery rate in mL/h, - corresponding to 24 kcal/kg BW/24 h - with a target factor which varies between 0.2 and 1.8. Both forms of nutrition are complemented by immune-modulating substrates as glutamine and antioxidants. |
Databáze: | OpenAIRE |
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