ID 110267
Title Transcription
ジュウショウ カンジャ ニオケル エイヨウ カンリ
Title Alternative
Nutritional management in critically ill patients
Author
Mano, Akiko Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School
Nakataki, Emiko Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Yamaguchi, Harutaka Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Inui, Daisuke Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Oto, Jun Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Imanaka, Hideaki Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Nishimura, Masaji Emergency and Critical Care Medicine, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
critically ill patients
permissive underfeeding
protein metabolism
enteral nutrition
bacterial translocation
Content Type
Journal Article
Description
Nutritional management is one of very important therapeutic intervention for every kind of patients. In critically ill patients, metabolic state varies according to the severity of injury or disease. It is crucial to give appropriate calories to overcome their stress. Recently, it is reported that hyperalimentation should be avoided in acute phase of critically illness, which is generally agreed as permissive underfeeding. It is also necessary to supply those patients with enough amount of protein because protein deficiency decrease the lean body mass(LBM). Loss of LBM induce organ dysfunction as well as immunodeficiency which lead to patient mortality. Enteral nutrition is superior to parenteral nutrition. Intestine plays an important role as endocrine and immune organ. Bacterial translocation, which is one of the most important causes of sepsis in critically ill patients, is prevented by enteral feeding. We should start enteral feeding as early as possible and make the most of intestinal function.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
65
Issue
1-2
Start Page
2
End Page
6
Sort Key
2
Published Date
2009-04-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences