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Ernährung des Intensivpatienten pp 35–45Cite as

Kalorienbedarf

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Zusammenfassung

Voraussetzung für die Einleitung einer Ernährungstherapie ist eine möglichst exakte Ermittlung des aktuellen Kalorienbedarfs. Diese ohnehin nicht einfache Aufgabe stellt beim kritisch kranken Patienten aufgrund der im Krankheitsverlauf oft schnell wechselnden metabolischen Situation eine besondere Herausforderung dar. Der Energiebedarf ist dabei regelmäßig neu zu evaluieren und an die Krankheitsphase und an vorliegende Stressfaktoren anzupassen. Die Ernährung des kritisch kranken Patienten muss als ein integraler Therapiebestandteil im multimodalen intensivmedizinischen Therapiekonzept verstanden werden und ist für das Outcome relevant. ähnlich wie bei jeder anderen Therapieform ist es daher wichtig, Zielkriterien zu definieren, die es zu erfüllen gilt. Der ermittelte Kalorienbedarf stellt hierbei eine der notwendigen Größen zur Definition dieser Zielkriterien dar.

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Author information

Authors and Affiliations

  1. Medizinische Klinik II, Klinikum Bremen Mitte, St.-Jürgen-Straße 1, 28177, Bremen

    Prof. Dr. med. Johann Ockenga & Dr. med. Edouard Sanson

Authors
  1. Prof. Dr. med. Johann Ockenga
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  2. Dr. med. Edouard Sanson
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Editor information

Editors and Affiliations

  1. Klinik für Anästhesiologie, Kliniken Wesermünde, Langener Straße 66, 27607, Langen

    Andreas Rümelin

  2. Zentrum für Innere Medizin, Medizinische Klinik II, Universtitätsklinikum Gießen u. Marburg, Klinikstraße 36, 35392, Gießen

    Konstantin Mayer

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Ockenga, J., Sanson, E. (2013). Kalorienbedarf. In: Rümelin, A., Mayer, K. (eds) Ernährung des Intensivpatienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29773-1_5

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  • DOI: https://doi.org/10.1007/978-3-642-29773-1_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29772-4

  • Online ISBN: 978-3-642-29773-1

  • eBook Packages: Medicine (German Language)

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