ESPEN guideline on clinical nutrition in the intensive care unit
ESPEN guideline on clinical nutrition in the intensive care unit
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DOI：
10.1016/j.clnu.2018.08.037
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发表时间：
2019-02-01
影响因子：
6.3
通讯作者：
Bischoff, Stephan C.
中科院分区：
文献类型：
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作者：
Singer, Pierre;Blaser, Annika Reintam;Bischoff, Stephan C.
根据新的ESPEN标准操作程序，以前为危重病人提供最佳医疗营养治疗的指南已经更新。这些指南定义了哪些患者处于危险之中，如何评估ICU患者的营养状况，如何确定提供的能量，选择的路线以及如何根据各种临床情况进行调整。本文还描述了何时开始以及如何在提供充足营养的管理方面取得进展。提出了碳水化合物、脂肪和蛋白质含量和性质的最佳测定方法。特别注意的是谷氨酰胺和omega-3脂肪酸。在重症监护中经常观察到的特殊情况，如吞咽困难患者、虚弱患者、多重创伤患者、腹部手术患者、败血症患者和肥胖患者，将被讨论以指导医生采取最佳的循证治疗。对这种营养疗法的监测将在另一份文件中讨论。(C) 2018欧洲临床营养与代谢学会。Elsevier Ltd.出版。版权所有。
Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document. (C) 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.