Zusammenfassung
Die frühe enterale Ernährung ist ein wichtiger Bestandteil intensivmedizinischer Therapiekonzepte geworden. Sie leistet einen wesentlichen Beitrag zur Verminderung von sekundären Infektionen und zur Prognoseverbesserung. Neben bewährten Standarddiäten stehen mittlerweile zahlreiche spezielle Nährlösungen zur Verfügung, die eine spezifische Nährstoffzufuhr ermöglichen, um dem Organversagen und phasenweisen Krankheitsverlauf von Intensivpatienten Rechnung zu tragen. Durch die zielgerichtete enterale Substratzufuhr können Inflammationsreaktion, Immunantwort und Reparationsvorgänge wie der Erhalt der mukosalen Barrierefunktion moduliert werden.
Abstract
Early enteral nutrition is an important part of intensive care therapy concepts. It contributes considerably to reducing secondary infections and improving prognosis. Besides approved standard formulas, special nutritive solutions are available permitting the application of specific nutritive substrates needed in case of organ failure and during phases of critical illness. Targeted application of enteral nutrition can modulate inflammatory reactions, reparation processes, immune responses, and stabilize mucosal barrier function.
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Interessenkonflikt
Die korrespondierende Autorin weist auf folgende Beziehungen hin: Fr. Dr. Andrea Schneider ist als Referentin für die Firmen Fresenius Kabi, Abbott und Pfrimmer Nutricia tätig.
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Schneider, A., Momma, M. Enterale Ernährung beim Intensivpatienten. Intensivmed 48, 87–92 (2011). https://doi.org/10.1007/s00390-010-0222-1
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DOI: https://doi.org/10.1007/s00390-010-0222-1