Lambell Kate J, Tatucu-Babet Oana A, Chapple Lee-Anne, Gantner Dashiell, Ridley Emma J
Australian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Level 3, 555 St Kilda Rd, Melbourne, VIC, 3004, Australia.
Nutrition Department, Alfred Health, Melbourne, Australia.
Crit Care. 2020 Feb 4;24(1):35. doi: 10.1186/s13054-020-2739-4.
Nutrition therapy during critical illness has been a focus of recent research, with a rapid increase in publications accompanied by two updated international clinical guidelines. However, the translation of evidence into practice is challenging due to the continually evolving, often conflicting trial findings and guideline recommendations. This narrative review aims to provide a comprehensive synthesis and interpretation of the adult critical care nutrition literature, with a particular focus on continuing practice gaps and areas with new data, to assist clinicians in making practical, yet evidence-based decisions regarding nutrition management during the different stages of critical illness.
危重症期间的营养治疗一直是近期研究的重点,相关出版物数量迅速增加,同时还有两项更新的国际临床指南。然而,由于试验结果和指南建议不断演变且常常相互矛盾,将证据转化为实践具有挑战性。本叙述性综述旨在对成人危重症营养文献进行全面的综合与解读,特别关注持续存在的实践差距和有新数据的领域,以帮助临床医生在危重症不同阶段做出切实可行且基于证据的营养管理决策。