[Nutritional concepts for patients under intensive care]
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[Nutritional concepts for patients under intensive care]. / Kreymann, Karl-Georg; de Heer, Geraldine; Felbinger, T; Kluge, Stefan; Nierhaus, Axel; Suchner, U; Meier, R F.
In: PNEUMOLOGIE, Vol. 61, No. 9, 9, 2007, p. 574-580.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - [Nutritional concepts for patients under intensive care]
AU - Kreymann, Karl-Georg
AU - de Heer, Geraldine
AU - Felbinger, T
AU - Kluge, Stefan
AU - Nierhaus, Axel
AU - Suchner, U
AU - Meier, R F
PY - 2007
Y1 - 2007
N2 - 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.
AB - 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.
M3 - SCORING: Zeitschriftenaufsatz
VL - 61
SP - 574
EP - 580
JO - PNEUMOLOGIE
JF - PNEUMOLOGIE
SN - 0934-8387
IS - 9
M1 - 9
ER -
