Servei de Medicina Intensiva, Hospital de Mataró, 08304 Mataró, Spain.
Grup de Recerca en Sèpsia, Inflamació i Seguretat del Pacient Crític, 43005 Tarragona, Spain.
Nutrients. 2019 Aug 1;11(8):1775. doi: 10.3390/nu11081775.
Critically ill patients often require life support measures such as mechanical ventilation or haemodialysis. Despite the essential role of nutrition in patients' recovery, the inappropriate use of medical nutrition therapy can have deleterious effects, as is the case with the use of respiratory, circulatory, or renal support. To increase awareness and to monitor the effects of inappropriate medical nutrition therapy, we propose to introduce the concept of nutritrauma in clinical practice, defined as metabolic adverse events related to the inappropriate administration of medical nutrition therapy or inadequate nutritional monitoring.
危重症患者常需生命支持措施，如机械通气或血液透析。尽管营养支持对患者康复至关重要，但营养支持治疗的不恰当应用也会产生有害影响，例如呼吸、循环或肾脏支持的应用。为了提高认识并监测不恰当的医学营养治疗的影响，我们建议在临床实践中引入营养创伤的概念，定义为与医学营养治疗的不当管理或营养监测不足相关的代谢不良事件。
