Department of Surgery, The Methodist Hospital, Weill Cornell Medical College, 6550 Fannin Street, Smith Tower 1661, Houston, TX 77030, USA.
Nutr Clin Pract. 2011 Feb;26(1):14-25. doi: 10.1177/0884533610393255.
Support for Acute Lung Injury (ALI) and Adult Respiratory Distress Syndrome (ARDS) in many ways represents the summation of all intensive care unit nutrition modalities. Basic tenets of management are based on those established for the general population of mechanically ventilated patients. As a marker of critical illness however, patients with ALI/ARDS suffer from other organ dysfunctions that require advanced support. Specific issues to be considered in this population include carbon dioxide production, prevention of aspiration, and modulation of the inflammatory response. These particular areas, with special attention paid to the role of lipids in ALI/ARDS, will be reviewed.
ALI 和成人呼吸窘迫综合征（ARDS）的支持在很多方面代表了所有重症监护病房营养方式的总和。管理的基本原则基于为机械通气患者的一般人群所确立的原则。然而，作为危重病的标志物，ALI/ARDS 患者患有需要高级支持的其他器官功能障碍。在该人群中需要考虑的具体问题包括二氧化碳产生、预防误吸和炎症反应的调节。这些特定领域，特别关注脂质在 ALI/ARDS 中的作用，将进行回顾。
