将欧洲临床营养与代谢学会 2019 年指南付诸实践。
Translating the European Society for Clinical Nutrition and Metabolism 2019 guidelines into practice.
机构信息
Department of Anaesthesiology and Intensive Care, University of Tartu, Estonia.
Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Switzerland.
出版信息
Curr Opin Crit Care. 2019 Aug;25(4):314-321. doi: 10.1097/MCC.0000000000000619.
PURPOSE OF REVIEW
To present a pragmatic approach to facilitate clinician's implementing the recent European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines on clinical nutrition in the intensive care unit.
RECENT FINDINGS
The ESPEN guidelines include 54 recommendations with a rationale for each recommendation. All data published since 1 January 2000 was reviewed and 31 meta-analyses were performed to inform these guidelines. An important aspect of the most recent ESPEN guidelines is an attempt to separate periods of critical illness into discrete - early acute, late acute and recovery - phases, with each exhibiting different metabolic profiles and requiring different strategies for nutritional and metabolic support.
SUMMARY
A pragmatic approach to incorporate the recent ESPEN guidelines into everyday clinical practice is provided.
目的综述
提出一种实用方法，以促进临床医生在重症监护病房实施最近的欧洲临床营养与代谢学会（ESPEN）临床营养指南。
最新发现
ESPEN 指南包括 54 条建议，并为每条建议提供了依据。对 2000 年 1 月 1 日以来发表的所有数据进行了审查，并进行了 31 项荟萃分析，为这些指南提供信息。最近的 ESPEN 指南的一个重要方面是试图将危重病期分为离散的早期急性、晚期急性和恢复期三个阶段，每个阶段表现出不同的代谢特征，需要不同的营养和代谢支持策略。
总结
提供了一种实用方法，将最近的 ESPEN 指南纳入日常临床实践。
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