[Immunonutrition after trauma].
Immunonutrition may be superior to standard clinical nutrition in specific clinical situations. After severe trauma, an enteral immuno-enhancing diet, enriched with arginine, omega-3 fatty acids, and nucleotides, decreases infectious complications. During acute respiratory distress syndrome, a continuous enteral diet with high-dose omega-3 fatty acids, gamma-linolenic acid, and antioxidants improved clinical outcome. Glutamine should be administered enterally or parenterally whenever total parenteral nutrition is indicated.
Klinik für Anästhesiologie, Operative Intensivmedizin und Schmerztherapie, Klinikum Neuperlach, Städtisches Klinikum München GmbH, Oskar-Maria-Graf-Ring 51, 81737, München, Deutschland. thomas.felbinger@klinikum-muenchen.de
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D003422:Critical Care / Q000379:methods*; D019587:Dietary Supplements; D004750:Enteral Nutrition / Q000379:methods / Q000451:nursing; D006801:Humans; D056747:Immunomodulation / Q000276:immunology*; D009748:Nutrition Disorders / Q000178:diet therapy* / Q000209:etiology / Q000276:immunology* / Q000517:prevention & control; D014947:Wounds and Injuries / Q000150:complications / Q000178:diet therapy* / Q000276:immunology*