Shikora S A, Benotti P N
Tufts University School of Medicine, Boston, Massachusetts, USA.
Respir Care Clin N Am. 1997 Mar;3(1):69-90.
As with all critically ill patients, those requiring mechanical ventilation are susceptible to the wasting of illness and cannot survive without prompt nutritional support. It may be fair to say that the proper provision of nutrients, and in particular the avoidance of overfeeding, are even more crucial for this subset of critically ill patients. To maximize the overall benefits of feeding, it is crucial to provide the nutritional support early and enterally whenever possible. Therefore, the best strategy for early removal of the mechanical ventilatory support must include the timely and careful administration of nutrients, micronutrients, minerals, vitamins, and fluid, in conjunction with standard intensive care therapeutics and the appropriate respiratory muscle-strengthening program.
与所有重症患者一样，需要机械通气的患者易患疾病消耗，没有及时的营养支持就无法存活。可以说，对于这部分重症患者，合理提供营养，尤其是避免过度喂养，更为关键。为了使喂养的总体益处最大化，尽早并尽可能通过肠内途径提供营养支持至关重要。因此，尽早撤除机械通气支持的最佳策略必须包括及时、谨慎地给予营养物质、微量营养素、矿物质、维生素和液体，同时结合标准的重症监护治疗方法以及适当的呼吸肌强化计划。
