ABSTRACT
No disponible
Subject(s)
Humans , Critical Care/standards , Lung Diseases/complications , Lung Diseases/diet therapy , Societies, Medical/standards , Acute Disease/epidemiology , Critical Care/methods , Respiration, Artificial , Calorimetry , gamma-Linolenic Acid , MicronutrientsABSTRACT
La insuficiencia respiratoria aguda grave que precisa ventilación mecánica es una de las causas más frecuentes de ingreso de los pacientes en UCI. Entre las etiologías más frecuentes se encuentran la reagudización de la enfermedad pulmonar obstructiva crónica y la insuficiencia respiratoria aguda con lesión pulmonar aguda o con criterios de síndrome de distrés respiratorio agudo. Estos pacientes presentan un riesgo elevado de desnutrición por su enfermedad de base, por la situación catabólica en la que se encuentran y por el empleo de la ventilación mecánica. Ello justifica que estos pacientes deban ser valorados desde el punto de vista nutricional y que el uso de soporte nutricional especializado sea necesario. El soporte nutricional especializado debe paliar los efectos catabólicos de la enfermedad, evitar la sobrecarga de calorías y utilizar, en casos seleccionados, dietas específicas enriquecidas con ácidos grasos w-3 y antioxidantes que podrían mejorar el pronóstico (AU)
Severe acute respiratory failure requiring mechanical ventilation is one of the most frequent reasons for admission to the intensive care unit. Among the most frequent causes for admission are exacerbation of chronic obstructive pulmonary disease and acute respiratory failure with acute lung injury (ALI) or with criteria of acute respiratory distress syndrome (ARDS). These patient s have a high risk of malnutrition due to the under lying disease, their altered catabolism and the use of mechanical ventilation. Consequently, nutritional evaluation and the use of specialized nutritional support are required. This support should alleviate the catabolic effects of the disease, avoid calorie overload and, in selected patients, to use omega-3 fatty acid- and antioxidant-enriched diets, which could improve outcome (AU)
Subject(s)
Humans , Enteral Nutrition/methods , Enteral Nutrition/standards , Parenteral Nutrition/methods , Parenteral Nutrition/standards , Respiratory Insufficiency/etiology , Respiratory Insufficiency/therapy , Critical Care/methods , Societies, Medical/standards , Societies, Scientific/standards , Acute Lung Injury/complications , Antioxidants/administration & dosage , Antioxidants/therapeutic use , Critical Illness/therapy , Dietary Fats/administration & dosage , Energy Intake , Fatty Acids, Omega-3/administration & dosage , Fatty Acids, Omega-3/therapeutic use , Metabolism , Nutrition Assessment , Nutritional Requirements , Pulmonary Disease, Chronic Obstructive/complications , Respiration, Artificial , Respiratory Distress Syndrome/complications , Spain , Malnutrition/etiology , Malnutrition/prevention & control , Malnutrition/therapyABSTRACT
Severe acute respiratory failure requiring mechanical ventilation is one of the most frequent reasons for admission to the intensive care unit. Among the most frequent causes for admission are exacerbation of chronic obstructive pulmonary disease and acute respiratory failure with acute lung injury (ALI) or with criteria of acute respiratory distress syndrome (ARDS). These patients have a high risk of malnutrition due to the underlying disease, their altered catabolism and the use of mechanical ventilation. Consequently, nutritional evaluation and the use of specialized nutritional support are required. This support should alleviate the catabolic effects of the disease, avoid calorie overload and, in selected patients, to use omega-3 fatty acid and antioxidant-enriched diets, which could improve outcome (AU)
La insuficiencia respiratoria aguda grave que precisa ventilación mecánica es una de las causas mas frecuentes de ingreso de los pacientes en UCI. Entre las etiologías mas frecuentes se encuentran la reagudización de la enfermedad pulmonar obstructiva crónica y la insuficiencia respiratoria aguda con lesion pulmonar aguda o con criterios de síndrome de distrés respiratorio agudo. Estos pacientes presentan un riesgo elevado de desnutrición por su enfermedad de base, por la situación catabólica en la que se encuentran y por el empleo de la ventilación mecánica. Ello justifica que estos pacientes deban ser valorados desde el punto de vista nutricional y que el uso de soporte nutricional especializado sea necesario. El soporte nutricional especializado debe paliar los efectos catabólicos de la enfermedad, evitar la sobrecarga de calorías y utilizar, en casos seleccionados, dietas especificas enriquecidas con ácidos grasos ω-3 y antioxidantes que podrían mejorar el pronostico (AU)
Subject(s)
Enteral Nutrition/methods , Enteral Nutrition/standards , Parenteral Nutrition/methods , Parenteral Nutrition/standards , Respiratory Insufficiency/etiology , Respiratory Insufficiency/therapy , Critical Care/methods , Societies, Medical/standards , Societies, Scientific/standards , Acute Lung Injury/complications , Antioxidants/administration & dosage , Antioxidants/therapeutic use , Dietary Fats/administration & dosage , Critical Illness/therapy , Energy Intake , Fatty Acids, Omega-3/administration & dosage , Fatty Acids, Omega-3/therapeutic use , Metabolism , Nutrition Assessment , Nutritional Requirements , Pulmonary Disease, Chronic Obstructive/complications , Respiration, Artificial , Respiratory Distress Syndrome/complications , Malnutrition/etiology , Malnutrition/prevention & control , Malnutrition/therapy , SpainABSTRACT
Severe acute respiratory failure requiring mechanical ventilation is one of the most frequent reasons for admission to the intensive care unit. Among the most frequent causes for admission are exacerbation of chronic obstructive pulmonary disease and acute respiratory failure with acute lung injury (ALI) or with criteria of acute respiratory distress syndrome (ARDS). These patients have a high risk of malnutrition due to the underlying disease, their altered catabolism and the use of mechanical ventilation. Consequently, nutritional evaluation and the use of specialized nutritional support are required. This support should alleviate the catabolic effects of the disease, avoid calorie overload and, in selected patients, to use omega-3 fatty acid- and antioxidant-enriched diets, which could improve outcome.
Subject(s)
Critical Care , Enteral Nutrition/standards , Parenteral Nutrition/standards , Respiratory Insufficiency/therapy , Societies, Medical/standards , Societies, Scientific/standards , Acute Lung Injury/complications , Antioxidants/administration & dosage , Antioxidants/therapeutic use , Critical Care/methods , Critical Illness/therapy , Dietary Fats/administration & dosage , Energy Intake , Enteral Nutrition/methods , Fatty Acids, Omega-3/administration & dosage , Fatty Acids, Omega-3/therapeutic use , Humans , Malnutrition/etiology , Malnutrition/prevention & control , Malnutrition/therapy , Metabolism , Nutrition Assessment , Nutritional Requirements , Parenteral Nutrition/methods , Pulmonary Disease, Chronic Obstructive/complications , Respiration, Artificial , Respiratory Distress Syndrome/complications , Respiratory Insufficiency/etiology , SpainABSTRACT
Severe acute respiratory failure requiring mechanical ventilation is one of the most frequent reasons for admission to the intensive care unit. Among the most frequent causes for admission are exacerbation of chronic obstructive pulmonary disease and acute respiratory failure with acute lung injury (ALI) or with criteria of acute respiratory distress syndrome (ARDS). These patients have a high risk of malnutrition due to the underlying disease, their altered catabolism and the use of mechanical ventilation. Consequently, nutritional evaluation and the use of specialized nutritional support are required. This support should alleviate the catabolic effects of the disease, avoid calorie overload and, in selected patients, to use omega-3 fatty acid and antioxidant-enriched diets, which could improve outcome.
