[Nutrition of critically ill patients in intensive care].
A concept for combined enteral and parenteral nutrition for critically ill patients is described in which endogenous substrate production during the acute phase of illness is taken into consideration and hyperalimentation is avoided. The nutritional goal is defined by multiplication of the base rate, i.e. body weight (BW) in kg as delivery rate in ml/h (wedge 24 kcal/kg BW/24 h), with a target factor, which varies between 0.2 and 1.8. An equivalent composition of enteral and parenteral nutrition allows a transition between both forms without problems. Simultaneously, immunologic aspects of nutrition are considered as well and both forms of nutrition are complemented by immune-modulating substrates such as glutamine and antioxidants.
Kreymann
K G
KG
Klinik für Intensivmedizin, Universitätskrankenhaus Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany. kreymann@uke.uni-hamburg.de
de Heer
G
G
Felbinger
T
T
Kluge
S
S
Nierhaus
A
A
Suchner
U
U
Meier
R F
RF
D000596:Amino Acids / Q000008:administration & dosage; D001835:Body Weight / Q000502:physiology; D003131:Combined Modality Therapy; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness / Q000628:therapy*; D002149:Energy Intake / Q000502:physiology; D004734:Energy Metabolism / Q000502:physiology; D004750:Enteral Nutrition / Q000379:methods*; D005217:Fat Emulsions, Intravenous; D005943:Gluconeogenesis / Q000502:physiology; D006801:Humans; D009751:Nutritional Requirements; D010289:Parenteral Nutrition, Total / Q000379:methods*; D011502:Protein-Energy Malnutrition / Q000628:therapy
D000596:Amino Acids; D005217:Fat Emulsions, Intravenous
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