Novosti
Khirurgii
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Year 2009 Vol. 17 No 2

REVIEWS

DUNDAROV Z.A., MAYOROV V.M.

THE MAIN PROBLEMS OF NUTRITIONAL SUPPORT CARRYING OUT IN CRITICAL STATE PATIENTS

The patients of the intensive care units who are in critical state and having clinical manifestations of polyorganic insufficiency present that group of patients who require the use of methods of nutritional correction of the protein and energy exchange such as enteral and parenteral feeding. Insufficient attention to the problem of compensation of the suddenly increasing energy requirements sometimes leads to decompensation of the adaptation possibilities of the patients and development of the complications that are difficult for correction. The purpose of this given work is up-to-date analysis of the most significant for the clinical practice problems that develop while undertaking nutritional support of the patients with SIRS and polyorganic insufficiency. In the analytical literature review the questions of catabolitic and hypermetabolic syndrome pathogenesis are studied; the estimation of various approaches to the calculation of patients needs is performed; the efficiency of various methods of enteral and parenteral feeding from the conclusive medical point of view is analyzed; the algorithm of nutritional support method realization in case of critical state is discussed. The estimation and monitoring of the patients metabolic needs cause the necessity of the individual approach to realization of the nutritional support.

Keywords: protein-energy insufficiency, critical conditions, nutritional support
p. 119 -129 of the original issue
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