Enteral Nutrition in Critical Care

Seron-Arbeloa, Carlos; Zamora-Elson, Monica; Labarta-Monzon, Lorenzo; Mallor-Bonet, Tomas

doi:10.4021/jocmr1210w

Cited by 53 publications

(55 citation statements)

References 60 publications

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“…O débito energético acumulado é descrito como um forte preditor de desfechos clínicos, expondo os pacientes a deficit energéticos que, provavelmente, não serão compensados durante a internação nas Unidades de Terapia Intensiva 13,14 .…”

Section: N T R O D U ç ã Ounclassified

“…A resposta metabólica ao estresse associada à imobilidade prolongada e à oferta nutricional inadequada potencializam o catabolismo e predispõe o deficit nutricional 14,15 . Dessa forma, a adequação da oferta energético-proteica ao paciente crítico representa um importante desafio.…”

Section: N T R O D U ç ã Ounclassified

“…Além disso, a prevalência de inadequação calórica e proteica esteve associada ao volume residual gás-trico elevado. Algumas intercorrências podem levar à administração inadequada da TNE nesses pacientes, sendo as complicações gastrointestinais as mais prevalentes devido à instabilidade hemodinâmica entre outros fatores inerentes às doenças de base 14 . Muitos estudos encontraram alta prevalência de complicações gastrointestinais [7][8][9][10]29,32,33 , sendo o retorno gástrico elevado a complicação mais prevalente.…”

Section: I S C U S S ã Ounclassified

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Inadequação calórica e proteica e fatores associados em pacientes graves

et al. 2016

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ObjetivoInvestigar a adequação calórico-proteica de pacientes em terapia nutricional enteral exclusiva internados nas Unidades de Terapia Intensiva de um hospital universitário. MétodosEstudo longitudinal realizado entre abril e novembro de 2014 nas Unidades de Terapia Intensiva de um hospital universitário. Foram avaliados no período de 14 dias: percentual de adequação calórico-proteica, calculada pelas médias dos valores prescritos e administrados; condições clínicas (unidade e diagnóstico de internação, escore prognóstico Acute Physiology and Chronic Health Evaluation II, estado nutricional, tempo de internação); complicações gastrointestinais; e motivo de interrupção da dieta. Valores inferiores a 80% de adequação calórica e proteica foram considerados inadequados. Realizou-se análise multivariada por Regressão de Poisson com nível de significância de 5%. ResultadosO estudo contou com uma amostra de 38 pacientes, sendo 52,63% desnutridos. As médias de adequação calórica e proteica foram de 76,47% e 69,11%, respectivamente. A prevalência de inadequação calórica foi de 55,26% e de proteica, 68,42%. O jejum para procedimentos foi a causa mais frequente de interrupção da dieta. O volume residual gástrico e a diarreia foram as complicações gastrointestinais mais comuns. A inadequação calórica associou-se ao tempo de permanência ≤14 dias e ao volume residual elevado. A inadequação proteica associou-se ao tempo de permanência ≤14 dias, ao volume residual gástrico elevado e à saída ou obstrução da sonda.

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Inadequação calórica e proteica e fatores associados em pacientes graves

et al. 2016

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“…Lee et al [13] suggested that early enteral feeding is important predictor of outcome in acute severe brain injured patients. Enteral feeding in acute critically ill patients could provide the appropriate doses of macro-and micronutrients to meet the measured needs and modulate the inflammatory response [14]. However, there are few studies about the impact of enteral feeding in chronic severe brain injured patients.…”

Section: Discussionmentioning

confidence: 99%

Nutritional Assessment in Vegetative and Minimally Conscious Patients

2017

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Highlights• The vegetative state (VS) and minimal conscious state (MCS) patients in rehabilitation center have normal range of body mass index (BMI) and biochemical parameters, including hemoglobin, lymphocyte, albumin and cholesterol.• The duration from onset has a positive correlation with BMI, and a negative correlation with cholesterol level.• This study suggests that regular and properly prescribed enteral feeding in VS and MCS patients would supply stable and appropriate nutrition. ABSTRACTThe aim of this study is to investigate the nutritional status in vegetative state (VS) and minimally conscious state (MCS) patients, and to identify correlation between the duration from onset and indices indicating nutritional status. This study included a total of 37 VS and MCS patients. For nutrition assessment, the body mass index (BMI), biochemical parameters such as hemoglobin, total lymphocyte count, albumin and cholesterol levels were measured. The mean BMI was 21.31 ± 2.81 kg/m 2 . Only 4 patients (10.81%) were classified as underweight, 24 patients (64.86%) had normal BMI, 6 patients (16.22%) were overweight, and 3 patients (8.11%) were obese. The partial correlation coefficients showed that duration from onset has a positive correlation with BMI, and a negative correlation with cholesterol level. This study suggests that regular and properly prescribed enteral feeding in VS and MCS patients would supply stable and appropriate nutrition. Further study is needed with additional nutrition assessments reflecting muscle mass.

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“…With the purpose of bettering the nutritional management, several various feeding methods have been tested [19,20]. Such management has two objectives to decrease the negative nitrogen balance and replace calorie and protein early.…”

Section: Nutritional Supportmentioning

confidence: 99%

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

Kaya

Turan

Aydın

2017

PNIN

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Neurosurgical patients present important metabolic alterations that trigger increased energy and protein expenditure. The clinical condition in neuro patients associated with the use of sedatives, steroids, barbiturates and musclerelaxing drugs postpones the use of nutrients in these patients and, thus, complications, including infection and longer hospitalization, may occur. Weight loss, negative nitrogen balance and immune dysfunction constitute a characteristic response in neurosurgical patients. There is a strong relationship between adequate nutritional status and recovery from critical illness. Improved nutritional status is associated with positive clinical outcomes. The health care team, nurses in particular, play a major role in the management and maintenance of an optimal nutritional status in patients who are in the neurosurgical clinic. This compilation aims at highlighting the fact that inadequate nutrition is a serious problem which increases incidence of morbidity and mortality especially in neurosurgical patients. The article also emphasises the importance of nursing assessment. (JNNN 2017;6(1):33-38) Key Words: neuro patients, neurosurgery, nutrition Streszczenie U pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej występują istotne zmiany metaboliczne, które powodują zwiększone wydatkowanie energii i białka. Neurochirurgiczny stan kliniczny w wyniku stosowania środków uspokajających, steroidów, barbituranów i leków zwiotczających mięśnie opóźnia wykorzystanie składników pokarmowych w tej grupie pacjentów, a zatem mogą wystąpić powikłania, w tym infekcje i dłuższa hospitalizacja. Utrata masy ciała, ujemny bilans azotu i dysfunkcja układu odpornościowego stanowią charakterystyczną odpowiedź u pacjentów neurochirurgicznych. Istnieje silny związek pomiędzy odpowiednim stanem odżywienia i regeneracją po chorobie krytycznej. Dobry stan odżywienia jest związany z pozytywnymi wynikami klinicznymi. Zespół opieki zdrowotnej, w szczególności pielęgniarki, odgrywają ważną rolę w utrzymaniu optymalnego stanu odżywienia u pacjentów neurochirurgicznych. Przegląd ten ma na celu podkreślenie, że przeciętny stan odżywienia jest poważnym problemem w kontekście zwiększonej zachorowalności i śmiertelności, zwłaszcza u pacjentów neurochirurgicznych. Artykuł zwraca również uwagę na duże znaczenie oceny pielęgniarskiej. (PNN 2017;6(1):33-38) Słowa kluczowe: pacjenci neurologiczni, neurochirurgia, odżywianie

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Enteral Nutrition in Critical Care

Cited by 53 publications

References 60 publications

Inadequação calórica e proteica e fatores associados em pacientes graves

Inadequação calórica e proteica e fatores associados em pacientes graves

Nutritional Assessment in Vegetative and Minimally Conscious Patients

Stan odżywienia pacjentów Neurochirurgicznego Oddziału Intensywnej Opieki Medycznej

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