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Ernä hrung in der Intensivmedizin

Teil 1

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Weiterbildung Anästhesiologie

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Zusammenfassung

Die Ernährung von Intensivpatienten ist aufgrund der komplexen metabolischen Veränderungen eine große Herausforderung. Vor diesem Hintergrund stellt eine stoffwechseladaptierte Ernährung die einzige Möglichkeit zur Vermeidung von Hyperoder Hypoalimentation dar und hat dadurch direkten Einfluss auf die Prognose. Neben der Analyse des Energiebedarfs ist die Wahl des Applikationswegs von entscheidender Bedeutung. Eine frühzeitige enterale Ernährung ist anzustreben. Hierbei werden in der Praxis oftmals auch supplementierende parenterale Regime benötigt, um eine ausreichende Kalorienzufuhr sicherzustellen. Die meisten heute verfügbaren Standardernährungslösungen sind in ihrer Nährstoffzusammensetzimg optimiert – ein regelmäßiges metabolisches und gastrointestinales Monitoring wird trotzdem empfohlen. Bei ausgesuchten Patientengruppen kann die Verabreichung immunmodulierender Substanzen indiziert sein – von einem unkritischen Einsatz muss wegen oftmals unzureichender oder widersprüchlicher Studienlage abgeraten werden.

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Authors and Affiliations

  1. Medizinische Klinik 11 (Pneumologie/internistische Intensivmedizin), Universitä tsklinikum Gießen und Marburg, Standort Gießen

    M. Hecker Ph.D. & K. Mayer

  2. Klinik für Anästhesiologie und operative Intensivmedizin, Klinikum Neuperlach, Städtisches Klinikum München, München

    T. Felbinger

Authors
  1. M. Hecker Ph.D.
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  2. T. Felbinger
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  3. K. Mayer
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Hecker, M., Felbinger, T., Mayer, K. (2013). Ernä hrung in der Intensivmedizin. In: Weiterbildung Anästhesiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-40715-4_6

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  • DOI: https://doi.org/10.1007/978-3-642-40715-4_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-40714-7

  • Online ISBN: 978-3-642-40715-4

  • eBook Packages: Medicine (German Language)

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