Monares Zepeda Enrique, Galindo Martín Carlos Alfredo
MD. Medical Chief of the Intensive Care Unit at the Hospital San Ángel Inn Universidad, Mayorazgo 130, Xoco, México City..
RD. Chief of the Nutrition Department at the Hospital San Ángel Inn Universidad, Mayorazgo 130, Xoco, México City..
Nutr Hosp. 2015 May 1;31(5):2212-9. doi: 10.3305/nh.2015.31.5.8668.
Implementing a nutrition support protocol in critical care is a complex and dynamic process that involves the use of evidence, education programs and constant monitoring. To facilitate this task we developed a mnemonic tool called the Nutritional FAST HUG (F: feeding, A: analgesia, S: stools, T: trace elements, H: head of bed, U: ulcers, G: glucose control) with a process also internally developed (both modified from the mnemonic proposed by Jean Louis Vincent) called MIAR (M: measure, I: interpret, A: act, R: reanalysis) showing an easy form to perform medical rounds at the intensive care unit using a systematic process.
在重症监护中实施营养支持方案是一个复杂且动态的过程，涉及证据的运用、教育项目以及持续监测。为便于开展这项工作，我们开发了一种记忆工具，称为营养FAST HUG（F：喂养，A：镇痛，S：大便，T：微量元素，H：床头抬高，U：溃疡，G：血糖控制），同时还开发了一个内部流程（两者均改编自让·路易·文森特提出的记忆法），称为MIAR（M：测量，I：解读，A：行动，R：重新分析），它展示了一种在重症监护病房进行医疗查房的简便形式，采用系统流程。
