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Ernährung des Intensivpatienten

Die Intensivmedizin

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die Ernährungstherapie stellt eine supportive Therapieform auf der Intensivstation dar. Sie soll primär die Zufuhr von Kalorien, Mikro- und Makronährstoffen sicherstellen, wenn Patienten durch Erkrankung oder Therapie oral keine ausreichende Ernährung aufnehmen können und eine Mangelernährung droht. Daneben wurde in den letzten Jahren auch klar, dass die Nutzung der Ernährungstherapie zu einer Verhinderung von Infektionen und sekundären Problemen führen kann.

Dieses Kapitel stellt die Grundlagen der Ernährung (enteral/parenteral), das Ernährungsmonitoring und das Vorgehen bei spezifischen Krankheitsbildern in der Intensivmedizin dar, z. B bei akutem Lungen-, Nieren- und Leberversagen sowie bei Patienten mit Sepsis.

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Literatur

  • Barbosa VM, Miles EA, Calhau C, Lafuente E, Calder PC (2010) Effects of a fish oil containing lipid emulsion on plasma phospholipid fatty acids, inflammatory markers, and clinical outcomes in septic patients: a randomized, controlled clinical trial. Crit Care 14:R5

    Article  PubMed Central  PubMed  Google Scholar 

  • Brunkhorst FM, Engel C, Bloos F, Meier-Hellmann A, Ragaller M, Weiler N, Moerer O, Gruendling M, Oppert M, Grond S et al (2008) Intensive insulin therapy and pentastarch resuscitation in severe sepsis. N Engl J Med 358:125–139

    Article  CAS  PubMed  Google Scholar 

  • Casaer MP, Mesotten D, Hermans G, Wouters PJ, Schetz M, Meyfroidt G, Van Cromphaut S, Ingels C, Meersseman P, Muller J, Vlasselaers D, Debaveye Y, Desmet L, Dubois J, Van Assche A, Vanderheyden S, Wilmer A, Van den Berghe G (2011) Early versus late parenteral nutrition in critically ill adults. N Engl J Med 365:506–517

    Article  CAS  PubMed  Google Scholar 

  • Elke G, Schadler D, Engel C, Bogatsch H, Frerichs I, Ragaller M, Scholz J, Brunkhorst FM, Loffler M, Reinhart K et al (2008) Current practice in nutritional support and its association with mortality in septic patients–results from a national, prospective, multicenter study. Crit Care Med 36:1762–1767

    Article  PubMed  Google Scholar 

  • Finfer S, Chittock DR, Su SY, Blair D, Foster D, Dhingra V, Bellomo R, Cook D, Dodek P, Henderson WR et al (2009) Intensive versus conventional glucose control in critically ill patients. N Engl J Med 360:1283–1297

    Article  PubMed  Google Scholar 

  • Gramlich L, Kichian K, Pinilla J, Rodych NJ, Dhaliwal R, Heyland DK (2004) Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature. Nutrition 20:843–848

    Article  PubMed  Google Scholar 

  • Guedon C, Schmitz J, Lerebours E, Metayer J, Audran E, Hemet J, Colin R (1986) Decreased brush border hydrolase activities without gross morphologic changes in human intestinal mucosa after prolonged total parenteral nutrition of adults. Gastroenterology 90:373–378

    CAS  PubMed  Google Scholar 

  • Heyland D, Muscedere J, Wischmeyer PE, Cook D, Jones G, Albert M, Elke G, Berger MM, Day AG (2013) A randomized trial of glutamine and antioxidants in critically ill patients. N Engl J Med 368:1489–1497

    Article  CAS  PubMed  Google Scholar 

  • Holzinger U, Kitzberger R, Bojic A, Wewalka M, Miehsler W, Staudinger T, Madl C (2009) Comparison of a new unguided self-advancing jejunal tube with the endoscopic guided technique: a prospective, randomized study. Intensive Care Med 35:1614–1618

    Article  PubMed  Google Scholar 

  • Huschak G, Zur Nieden K, Hoell T, Riemann D, Mast H, Stuttmann R (2005) Olive oil based nutrition in multiple trauma patients: a pilot study. Intensive Care Med 31:1202–1208

    Article  PubMed  Google Scholar 

  • Kreymann G, Adolph M, Druml W, Jauch KW (2007) Leitlinie Parenterale Ernährung der DGEM: Intensivmedizin. Akt Ernähr Med 32:S89–S92

    Article  Google Scholar 

  • Lekka ME, Liokatis S, Nathanail C, Galani V, Nakos G (2004) The impact of intravenous fat emulsion administration in acute lung injury. Am J Respir Crit Care Med 169:638–644

    Article  PubMed  Google Scholar 

  • Lewis SJ, Egger M, Sylvester PA, Thomas S (2001) Early enteral feeding versus „nil by mouth“ after gastrointestinal surgery: systematic review and meta-analysis of controlled trials. BMJ 323:773–776

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Marik PE, Zaloga GP (2008) Immunonutrition in critically ill patients: a systematic review and analysis of the literature. Intensive Care Med 34:1980–1990

    Article  PubMed  Google Scholar 

  • McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, Ochoa JB, Napolitano L, Cresci G (2009) Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 33:277–316

    Article  PubMed  Google Scholar 

  • Montejo JC, Minambres E, Bordeje L, Mesejo A, Acosta J, Heras A, Ferre M, Fernandez-Ortega F, Vaquerizo CI, Manzanedo R (2010) Gastric residual volume during enteral nutrition in icu patients: the regane study. Intensive Care Med 36:1386–1393

    Article  CAS  PubMed  Google Scholar 

  • Nguyen NQ, Ching K, Fraser RJ, Chapman MJ, Holloway RH (2008) Risk of Clostridium difficile diarrhoea in critically ill patients treated with erythromycin-based prokinetic therapy for feed intolerance. Intensive Care Med 34:169–173

    Article  CAS  PubMed  Google Scholar 

  • Reignier J, Mercier E, Le Gouge A, Boulain T, Desachy A, Bellec F, Clavel M, Frat JP, Plantefeve G, Quenot JP, Lascarrou JB (2013) Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA 309:249–256

    Article  CAS  PubMed  Google Scholar 

  • Rice TW, Wheeler AP, Thompson BT, de Boisblanc BP, Steingrub J, Rock P (2011) Enteral omega-3 fatty acid, gamma-linolenic acid, and antioxidant supplementation in acute lung injury. JAMA 306:1574–1581

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Singer P, Berger MM, Van den Berghe G, Biolo G, Calder P, Forbes A, Griffiths R, Kreyman G, Leverve X, Pichard C (2009) ESPEN Guidelines on Parenteral Nutrition: intensive care. Clin Nutr 28:387–400

    Article  PubMed  Google Scholar 

  • Stoner HB, Little RA, Frayn KN, Elebute AE, Tresadern J, Gross E (1983) The effect of sepsis on the oxidation of carbohydrate and fat. Br J Surg 70:32–35

    Article  CAS  PubMed  Google Scholar 

  • Suchner U, Katz DP, Furst P, Beck K, Felbinger TW, Senftleben U, Thiel M, Goetz AE, Peter K (2001) Effects of intravenous fat emulsions on lung function in patients with acute respiratory distress syndrome or sepsis. Crit Care Med 29:1569–1574

    Article  CAS  PubMed  Google Scholar 

  • van den Berghe G, Wouters P, Weekers F, Verwaest C, Bruyninckx F, Schetz M, Vlasselaers D, Ferdinande P, Lauwers P, Bouillon R (2001) Intensive insulin therapy in the critically ill patients. N Engl J Med 345:1359–1367

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Zentrum für Innere Medizin, Medizinische Klinik II, Universitätsklinikum Gießen und Marburg GmbH, Klinikstr. 33, 35392, Gießen, Deutschland

    Konstantin Mayer

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  1. Konstantin Mayer
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Correspondence to Konstantin Mayer .

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Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Germany

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Germany

    Elke Muhl

  3. Dir. der Klinik fuer Anaesthesie Intensivmed. und Schmerzther., Frankfurt, Hessen, Germany

    Kai Zacharowski

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Mayer, K. (2015). Ernährung des Intensivpatienten. In: Marx, G., Muhl, E., Zacharowski, K. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_38-1

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  • DOI: https://doi.org/10.1007/978-3-642-54675-4_38-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-54675-4

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Chapter history

  1. Latest

    Ernährung der Intensivpatient*in
    Published:
    14 July 2023

    DOI: https://doi.org/10.1007/978-3-642-54675-4_38-2

  2. Original

    Ernährung des Intensivpatienten
    Published:
    16 April 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_38-1

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