Position paper of the ESICM Working Group on Nutrition and Metabolism - Metabolic basis of nutrition in intensive care unit patients: ten critical questions

被引：37

作者：

Biolo, G

Grimble, G

Preiser, JC

Leverve, X

Jolliet, P

Planas, M

Roth, E

Wernerman, J

Pichard, C

机构：

[1] RHMS Tournai, Dept Intens Care, B-7500 Tournai, Belgium

[2] Whitelands Coll, Roehampton Inst, London SW15 3SN, England

[3] Univ Trieste, Ist Clin Med, I-34100 Trieste, Italy

来源：

INTENSIVE CARE MEDICINE | 2002年 / 28卷 / 11期

关键词：

critical illness; stress; nutritional support; nutritional assessment; metabolism;

D O I：

10.1007/s00134-002-1512-2

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The metabolic changes associated with critical illness involve several pathways acting at different steps of the utilization of nutritive substrates. The understanding of the role of these pathways and of their complex regulation has led to the development of new strategies for the metabolic and nutritional management of critically ill patients, including the development of new products for nutritional support. The rationale for changing the profile of nutritional support solutions by adding novel substrates is also discussed. This review focuses on the metabolic specificities of critically ill patients and also includes an analysis of the adequacy of tools to monitor the metabolic status and the adequacy of the nutritional support.

引用

页码：1512 / 1520

页数：9

共 59 条

[1] Metabolic interrelationships between liver and skeletal muscle in pathological states [J].