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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
References
  1. Chan, S. Nutritional management in ICU / S. Chan, K. C. McCowen, G. Blackburn // Chest. – 1999. – Vol. 115, N 5. – Р. 145-148.
  2. Klein, S. Nutritional support in clinical practice: review of published data and recommendations for future research directions / S. Klein, J. Kinney, K. Jeejeebhoy // JPEN. – 1997. – Vol. 21. – Р. 133-156.
  3. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature / L. Gramlich [et al.] // Nutrition. – 2004. – Vol. 20, N 10. – Р. 843-848.
  4. Лейдерман, И. Н. Ошибки и проблемы при проведении нутритивной поддержки в отделениях реанимации и интенсивной терапии / И. Н. Лейдерман, А. Л. Левит // Парентеральное и энтеральное питание: cб. научн. тр. 5 междунар. конгр. – Москва, 2001. – С. 53-54.
  5. Secor, V. H. Multiple organ dysfunction and failure / V. H. Secor // Mosby Year Book. – 2-nd ed. – 1996. – 457 p.
  6. Interactions between nutrients, pro-inflammatory cytokines and inflammation / R. F. Grimble [et al.] // Cli. Sci. – 1996. – Vol. 91. – Р. 121-130.
  7. Roberts, P. R. Nutrition in the head-injured patients / P. R. Roberts // New Horiz. –1995. – Vol. 3. – Р. 506-517.
  8. Taylor, D. E. Oxidative metabolism in sepsis and sepsis syndrome / D. E. Taylor // Journal of Critical Care. – 1995. – Vol. 10. – Р. 122-135.
  9. Карли, Ф. Метаболический ответ на острый стресс / Ф. Карли // Освежающий курс лекций по анестезиологии и реаниматологии: cб. научн. тр. – Архангельск, 1996. – С. 31-33.
  10. Cerra, F. Applied nutrition in ICU patients: a consensus statement of the American College of Chest Physicians / F. Cerra // Chest. – 1997. – Vol. 111. – Р. 769-778.
  11. Cerra, F. Multiple organ failure syndrome / F. Cerra. – California, 1989. – P. 1-25.
  12. Cerra, F. Multiple Organ Failure Syndrome / F. Cerra // Hosp. Pract. – 1990. – Vol. 25. – P. 169-176.
  13. Попова, Т. С. Нутритивная поддержка больных в критических состояниях / Т. С. Попова, А. Е. Шестопалов, Т. Ш. Тамазашвили. – М.: Медицина, 2002. – 220 с.
  14. Hallay, J. Early jejunal nutrition and changes in the immunological parameters of patients with acute pancreatitis / J. Hallay, G. Kovacs, K. Szatmari // Hepatogastroenterology. – 2001. – Vol. 48, N 41. – P. 148-162.
  15. AKE Recommendations: Enteral and Parenteral Support in Adults. – German-Austria, 2000. – 84 p.
  16. Measured versus estimated energy expedinture in mechanically ventilated critically ill patients / C. H. Cheng [et al.] // Clinical Nutrition. – 2002. –Vol. 21, N 2. – P. 165-172.
  17. Бахман, А. Л. Искусственное питание / А. Л. Бахман. – СПб., 2001. – 122 с.
  18. Cotres, V. Errors in estimating energy expenditure in critically surgical patients / V. Cotres, L. D. Nelson // Arch. Surg. – 1989. – Vol. 124. – P. 287-290.
  19. Resting metabolic rate of the critically ill patient: measured versus predicted / C. Weissman [et al.] // Anaesthesiology. – 1986. – Vol. 64. – P. 673-679.
  20. McClave, S. Can we justify continued interest in indirect calorimetry? / S. McClave, H. L. Snider, C. Irton-Jones // Nutrition in Clinical Practice. – 2002. – Vol. 17. – P. 133-136.
  21. McClave, S. A. Should indirect calorimetry be used as part of nutritional assessment? / S. A. McClave, C. J. McClain, H. L. Snider // J. Clin. Gastroenterol. – 2001. – Vol. 33, N 1. – P. 14-9.
  22. Bartlett, R. H. Measurement of metabolism in multiple organ failure / R. H. Bartlett, R. E. Dechert, J. R. Mault // Surgery. – 1992. – Vol. 92. – P. 771-779.
  23. Mault, J. Energy balance and outcome in critically ill patients. Results of a multicenter, prospective randomized trial by the ICU Nutrition Study Group / J. Mault // JPEN. – 2000. – Vol. 121. – P. 24-28.
  24. Kleber, M. J. Is there a role for indirect calorimetry in maximizing patient outcome from nutritional alimentation in the long-term nursing care setting? / M. J. Kleber, C. C. Lowen, S. A. McClave // Nutr. Clin. Pract. – 2000. – Vol. 15. – P. 227-233.
  25. McClave, С. Preoperative issues in clinical nutrition / С. McClave, H. Snider, D. Spain // Chest. – 1999. – Vol. 115. – P. 64-70.
  26. Флетчер, Р. Клиническая эпидемиология. Основы доказательной медицины / Р. Флетчер, С. Флетчер, Э. Вагнер. – Москва: Медиа Сфера, 1998. – 560 c.
  27. Гринхальх, Т. Основы доказательной медицины / Т. Гринхальх. – Москва: Гэотар-Мед, 2004. – 238 с.
  28. Alexander, W. Beneficial effects of aggressive protein feeding in severely burned children / W. Alexander // Ann. Surg. – 1980. – Vol. 192. – Р. 505-517.
  29. Lewis, S. Early enteral feeding versus “nil by mouth” after gastrointestinal surgery: systematic review and meta-analysis of controlled trials / S. Lewis, P. Sylvester, C. Topic // BMJ. – 2001. – Vol. 323. – P. 1-5.
  30. Moore, E. E. Benefits of immediate jejunostomy feeding after major abdominal trauma / E. E. Moore, T. N. Jones // J. Trauma. – 1986. – Vol. 26. – Р. 874-881.
  31. 31.Wilson, R. The nutritional management of patients with head injuries / R. Wilson, C. Dente, J. Tybursk // Neurological Research. – 2001. – Vol. 23. – Р. 12-128.
  32. Kudsk, K. A. Enteral vs parenteral feeding - effects on septic morbidity after blunt and penetrating abdominal trauma / K. A. Kudsk, M. A. Croce, T. C. Fabian // Ann. Surg. – 1992. – Vol. 215. – P. 503-511.
  33. Lobo, D. Evolution of nutritional support in acute pancreatitis / D. Lobo // British Journal of Surgery. – 2000. – Vol. 87. – Р. 695-707.
  34. Enteral nutrition is superior to parenteral nutrition, enteral feeding attenuates the acute phase response and improves disease severity in acute pancreatitis / F. Kalfarentoz [et al.] // British Journal of Surgery. – 1997. – Vol. 84. – P. 1665-1669.
  35. Enteral compared with parenteral: a meta-analysis / C. Braunschweig [et al.] // AJCN. – 2001. – Vol. 74, N.4. – Р. 534-542.
  36. Does enteral nutrition compared to parenteral nutrition result in better outcomes in critically ill adult patients? A systematic review of the literature / L. Gramlich [et al.] // Nutrition. – 2004. – Vol. 20, N 10. – P. 843-848.
  37. Efficacy of using a food fortification approach to increase the energy intake of long stay residential patients who are at risk of malnutrition / K. Ashbolt [et al.] // Proceedings of the Nutrition Society. – 2000. – Vol. 59. – Р. 156-167.
  38. Relationship of nutritional status to length of stay, hospital costs, and discharge status of patients hospitalized in the medicine service / C. S. Chima [et al.] // Journal of the American Dietetic Association. – 1997. – Vol. 97. – Р. 975-978.
  39. Nitenberg, G. Nutritional support in sepsis: still skeptical? / G. Nitenberg // Current opinion in Critical Care. – 2000. – Vol. 6. – Р. 253-266.
  40. Components of energy expenditure in patients with severe sepsis and major trauma: a basis for clinical care / M. Uehara [et al.] // Crit. Care Med. – 1999. – Vol. 27. – Р. 1295-1302.
  41. Evaluation of oxygen consumption and resting energy expenditure in critically ill patients with systemic inflammatory response syndrome / S. Moriyama [et al.] // Crit. Care Med. – 1999. – Vol. 27. – P. 2133-2136.
  42. Lipid emulsions in total parenteral nutrition-state of the art and future perspectives / M. Adolph [et al.] // Clinical Nutrition. – 2001. – Vol. 20. – Supp. 4. – P. 11-14.
  43. Long chain versus medium chain lipids in patients with ARDS: effects on pulmonary haemodynamics and gas exchange / V. Smirniotis [et al.] // Intensive Care Med. – 1998. – Vol. 24. – Р. 1029-1033.
  44. Tanaka, H. Reduction of resuscitation fluid volumes in severely burned patients using ascorbic acid administration: a randomized, prospective study / H. Tanaka // Arch. Surg. – 2000. – Vol. 135. – Р. 326-331.
  45. Furst, P. Fish oil emulsions: what benefits can they bring? / P. Furst, K. S. Kuhn // Clin. Nutr. – 2000. – Vol. 19. – P. 7-14.
  46. Hawker, W. H. How to feed patients with sepsis / W. H. Hawker // Curr. Opin. Crit. Care. – 2000. – Vol. 6, N 4. – P. 247-252.
  47. Heyland, D. K. Total parenteral nutrition in the critically ill patient: a meta-analysis / D. K. Heyland, S. MacDonald, L. Keefe // JAMA. – 1998. – Vol. 280. – Р. 2013-2019.
  48. Lipman, T. Grains or veins: is enteral nutrition really better than parenteral nutrition? A look at the evidence / T. Lipman // JPEN. – 1998. – Vol. 22. – Р. 167-182.
  49. Надыров, Э. А. Изучение энтеропротективных свойств раннего энтерального питания у больных с гнойным панкреатитом по данным патологоанатомических исследований / Э. А. Надыров, О. А. Голубев, В. М. Майоров // Актуальные проблемы медицины: сб. науч. студ. конф. – Гомель: ГоГМУ, 2008. – Т. 3. – С. 62-65.
  50. Майоров, В. М. Применение энтерального питания в раннем послеоперационном периоде у больных с гнойными осложнениями острого деструктивного панкреатита / В. М. Майоров, З. А. Дундаров // Актуальные проблемы медицины: сб. науч. студ. конф. – Гомель: ГоГМУ, 2008. – Т. 3. – С. 17-21.
  51. Ferreira, I. Nutritional intervention in COPD. A systematic overview / I. Ferreira // Chest. – 2001. – Vol. 2, N 119. – Р. 353-363.
  52. Wilson, R. The nutritional management of patients with head injuries / R. Wilson, C. Dente, J. Tyburski // Neurological Research. – 2001. – Vol. 23. – Р. 121-128.
  53. Spapenf, H. Soluble fiber reduces the incidence of diarrhea in septic patients receiving total enteral nutrition: a prospective, double-blind, randomized, and controlled trial / H. Spapenf, M. Diltoer, C. Van Malderen // JAMA. – 2001. – Vol. 20. – Is. 4. – P. 301-305.
  54. Suchner U. Immune-modulatory actions of arginine in the critically ill / U. Suchner, D. K. Heyland, K. Peter // Br. J. Nutr. – 2002. – Vol. 87. – Suppl. 1. – Р. 121-132.
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