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Enterale und/oder parenterale künstliche Ernährung des Intensivpatienten

Ein Algorithmus als mögliche Entscheidungsgrundlage
  • A. WeimannEmail author
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Zusammenfassung

Für die künstliche Ernährung des Intensivpatienten wird in den ersten 7 Tagen unter Einbeziehung aktueller Daten und Kontroversen eine frühzeitige enterale, möglichst normokalorische Energiezufuhr (Ziel: 25 kcal/kgKG/Tag) empfohlen. Nur selektiv sollte bei primär mangelernährten Patienten und solchen mit hohem Risiko für einen längeren und komplizierten Intensivaufenthalt im Fall einer unzureichenden enteralen Toleranz bereits ab Tag 3–5 mit der parenteralen Supplementierung begonnen werden. Dies kann in einem Algorithmus zusammengefasst werden.

Schlüsselwörter

Intensivtherapie  Ernährungstherapie Energieaufnahme Mangelernährung Entscheidungshilfen 

Enteral and/or parenteral nutrition in the critically ill

An algorithm as a possible basis for decision-making

Abstract

Taking into account new data and recent clinical controversies regarding nutritional support within the first 7 days of critical illness, early enteral nutrition is recommended. A normocaloric goal of 25 kcal/kg body weight/day should be achieved. In case of inadequate enteral tolerance, parenteral supplementation starting between day 3 and 5 should be selectively restricted to primarily malnourished patients and those with high risk for complications and prolonged stay in the intensive care unit. This can be summarized in a clinical algorithm.

Keywords

Critical illness Nutrition therapy Energy intake Malnutrition Decision aids 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

A. Weimann gibt den Erhalt von Vortragshonoraren mit Reisekostenübernahmen durch die Firmen Baxter Deutschland GmbH, Braun Melsungen, Fresenius Kabi, Nestlé und Nutricia sowie von Studienförderung durch die Firma Danone an.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.Klinik für Allgemein-, Viszeral- und Onkologische Chirurgie mit Abteilung Klinische ErnährungKlinikum St. Georg gGmbH LeipzigLeipzigDeutschland

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