DGEM-Leitlinie: Klinische Ernährung in der Intensivmedizin – Kurzversion

Elke, Gunnar; Hartl, Wolfgang H.; Kreymann, K. Georg; Adolph, M.; Felbinger, Thomas W.; Graf, Tobias; Heer, Geraldine de; Heller, Axel R.; Kampa, Ulrich; Mayer, Konstantin; Muhl, Elke; Niemann, Bernd; Rümelin, Andreas; Steiner, Stephan; Stoppe, Christian; Weimann, Arved; Bischoff, Stephan C.

doi:10.1055/a-0805-4118

Cited by 19 publications

(43 citation statements)

References 3 publications

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“…Für die parenterale Ernährung des Intensivpatienten gibt es aktuelle Leitlinienempfehlungen der Deutschen Gesellschaft für Ernährungsmedizin e. V., die zwischen akut-und postakut mit Rekonvaleszenz-und chronischer Phase differenzieren [9]. Diese sehen für die Substratzufuhr pro Tag folgende Höchstgrenzen vor: Glukose 4 g/kg Körpergewicht, Lipide 1,5 g/kg und Aminosäuren 1,2 g/kg [35].…”

Section: Indikation Zur Parenteralen Ernährungder Plan Bunclassified

Update enterale und parenterale Ernährung

Weimann

Wobith

2021

Zentralbl Chir

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Section: Indikation Zur Parenteralen Ernährungder Plan Bunclassified

Update enterale und parenterale Ernährung

Weimann

Wobith

2021

Zentralbl Chir

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“…Multiple guidelines for nutrition in the critically ill exist, many produced and endorsed by societies in nutrition and/or critical care [11, 82–84]. However, because of the weakness of the supporting evidence and the sometimes limited clinical plausibility between nutritional interventions and the reported outcomes, experts disagree regarding optimal nutritional approaches and conflicting recommendations have sometimes been published, limiting global acceptance and application.…”

Section: Conclusion: How We See the Futurementioning

confidence: 99%

Metabolic support in the critically ill: a consensus of 19

et al. 2019

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Metabolic alterations in the critically ill have been studied for more than a century, but the heterogeneity of the critically ill patient population, the varying duration and severity of the acute phase of illness, and the many confounding factors have hindered progress in the field. These factors may explain why management of metabolic alterations and related conditions in critically ill patients has for many years been guided by recommendations based essentially on expert opinion. Over the last decade, a number of randomized controlled trials have been conducted, providing us with important population-level evidence that refutes several longstanding paradigms. However, between-patient variation means there is still substantial uncertainty when translating population-level evidence to individuals. A cornerstone of metabolic care is nutrition, for which there is a multifold of published guidelines that agree on many issues but disagree on others. Using a series of nine questions, we provide a review of the latest data in this field and a background to promote efforts to address the need for international consistency in recommendations related to the metabolic care of the critically ill patient. Our purpose is not to replace existing guidelines, but to comment on differences and add perspective.

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“…Die Grundsätze der Analgosedierung, die auch für Sepsispatienten gelten, sind in der S3-Leitlinie "Analgesie, Sedierung und Delirmanagement in der Intensivmedizin" festgehalten [37]. Dabei finden patientenorientierte Behandlungskonzepte zur bedarfsadaptierten Analgesie und Sedierung sowie zur Vermeidung von Angst und Delir Anwendung.…”

Section: Analgosedierungunclassified

“…Für Sepsispatienten gelten die allgemeinen Prinzipien der Ernährung von Intensivpatienten der S2k-Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin (DGEM) "Klinische Ernährung in der Intensivmedizin" [37].…”

Section: Ernährungunclassified