Die Biochemie des Kohlenhydratstoffwechsels bei Intensivpatienten

Grünert, A.

doi:10.1007/978-3-7091-8525-4_1

Cited by 2 publications

(2 citation statements)

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“…Erschwerend kommt die Situation des Postaggressionsstoffwechsels (32,33,35,38,39) Auswirkungen der Infusionstherapie, eventuell zu rascher parenteraler Verabreichung (Aminosäuren! ), SondenfeWern und mechanischen Maßnahmen, z.B.…”

Section: Parenterale Ernährungunclassified

Die künstliche Ernährung in der Nervenheilkunde - Indikationsstellungen und Problematiken*

Fuchs¹,

Brandl²,

Arnold³

et al. 1983

Fortschr Neurol Psychiatr

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36 patients with severe neurological diseases (craniocerebral trauma, cerebrovascular insufficiency, meningo-encephalitis, polyneuropathy, paraplegia, intoxication etc.) received for more than 3 months monosaccharides and polyols (Triofusin E 1000) and a 10-%-concentration of crystalline amino acids (Aminofusin L10% kohlenhydratfrei) via the parenteral route in combination with / or exclusively a nutrient-defined diet (Biosorb). Exclusive enteral nutrition was given preference if possible. Numerous laboratory parameters, as for example blood counts, "hepatic enzymes", electrolytes, trace elements, plasma proteins, lipids, urea and creatinine were determined once a week. Substitutions and secondary complications were registered in addition. Iron and plasma proteins had to be substituted most frequently. It could be proved that hypoferremia was caused by insufficient iron supply in case of exclusive/prevailing parenteral nutrition, incorrect application of the iron preparations, inflammatory complications with iron moving into the R.E.S., as well as malabsorption syndromes probably induced by bacteria. Inflammatory complications were also the major cause of protein deficiency syndromes (hypoalbuminemia). In case of relatibely often occurring diarrhea, however, it could clearly be proved that it was not induced by nutrition but was produced by a broad-spectrum antibiosis. Chronically persistent diarrhea with colitis-like colonic changes required enteral feeding with an oligopeptide diet (z.B. Peptisorb) via jejunal feeding tube. Nitrogen balances which were determined after more than 3 months of artificial nutrition formed the basis of a nutritional plan differentiated according to diagnostic groups and stages of disease.

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Section: Parenterale Ernährungunclassified

Die künstliche Ernährung in der Nervenheilkunde - Indikationsstellungen und Problematiken*

Fuchs¹,

Brandl²,

Arnold³

et al. 1983

Fortschr Neurol Psychiatr

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“…The basis for this is provided by an adequate, status-related nutritional therapy [1][2][3][4].The human organism, as a living system within a particular environment, experiences a continuous give and take of energy and substrate. To maintain its macromolecular structure and associated functions, it, therefore, requires a constant supply both of nutritional building blocks and of other substances that can be oxidized in the presence of oxygen to yield energy in usable form, i.e., as the energy-rich phosphate compound ATP [5,6]. In principle, these energy donors are chiefly drawn…”

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confidence: 99%

Nutritional support of the multiple trauma patient

1983

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This report presents a brief review of currently relevant aspects of the parenteral nutritional support of the multiple trauma patient in intensive care. The decisive factors governing selection and application of an individually devised program of parenteral nutrition are the multiple trauma patient's energy turnover and nitrogen losses on the one hand, and the tolerance limits and viability of the traumatized organism on the other. It is possible nowadays to provide situation‐adapted nutritional support corresponding to the individual requirements of a seriously injured patient. However, further detailed studies are still necessary to come up with more definite answers to questions regarding requirement levels, turnover, and tolerance of the substrates applied in critical metabolic situations. This aside, adequate nutritional therapy at present represents without a doubt an integral feature of any long‐term post‐trauma therapeutic program.

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Die Biochemie des Kohlenhydratstoffwechsels bei Intensivpatienten

Cited by 2 publications

References 0 publications

Die künstliche Ernährung in der Nervenheilkunde - Indikationsstellungen und Problematiken*

Die künstliche Ernährung in der Nervenheilkunde - Indikationsstellungen und Problematiken*

Nutritional support of the multiple trauma patient

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