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COVID-19 患者的 ICU 营养支持:实用指南。

Nutrition of the COVID-19 patient in the intensive care unit (ICU): a practical guidance.

机构信息

Unité de Nutrition, CHU Rennes, 2, rue Henri Le Guilloux, 35000, Rennes, France.

INRAE, INSERM, Nutrition Métabolismes et Cancer, NuMeCan, Univ Rennes, Rennes, France.

出版信息

Crit Care. 2020 Jul 19;24(1):447. doi: 10.1186/s13054-020-03159-z.

Abstract

Five to 10% of the coronavirus SARS-CoV-2-infected patients, i.e., with new coronavirus disease 2019 (COVID-19), are presenting with an acute respiratory distress syndrome (ARDS) requiring urgent respiratory and hemodynamic support in the intensive care unit (ICU). However, nutrition is an important element of care. The nutritional assessment and the early nutritional care management of COVID-19 patients must be integrated into the overall therapeutic strategy. The international recommendations on nutrition in the ICU should be followed. Some specific issues about the nutrition of the COVID-19 patients in the ICU should be emphasized. We propose a flow chart and ten key issues for optimizing the nutrition management of COVID-19 patients in the ICU.

摘要

约 5%至 10%的新型冠状病毒 SARS-CoV-2 感染患者(即新型冠状病毒病 2019,COVID-19)表现为急性呼吸窘迫综合征(ARDS),需要在重症监护病房(ICU)中紧急进行呼吸和血流动力学支持。然而,营养是护理的重要组成部分。COVID-19 患者的营养评估和早期营养护理管理必须纳入整体治疗策略。应遵循 ICU 营养的国际推荐意见。应强调 ICU 中 COVID-19 患者营养的一些具体问题。我们提出了一个流程图和十个关键问题,以优化 ICU 中 COVID-19 患者的营养管理。

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