Intensive Care Medicine, Journal Year: 2022, Volume and Issue: 48(6), P. 649 - 666
Published: May 20, 2022
Language: Английский
Clinical Nutrition, Journal Year: 2020, Volume and Issue: 39(6), P. 1631 - 1638
Published: March 31, 2020
Language: Английский
Citations
782
Clinical Nutrition, Journal Year: 2021, Volume and Issue: 40(7), P. 4745 - 4761
Published: April 20, 2021
Language: Английский
Citations
747
Nature Reviews Nephrology, Journal Year: 2020, Volume and Issue: 16(12), P. 747 - 764
Published: Oct. 15, 2020
Abstract Kidney involvement in patients with coronavirus disease 2019 (COVID-19) is common, and can range from the presence of proteinuria haematuria to acute kidney injury (AKI) requiring renal replacement therapy (RRT; also known as therapy). COVID-19-associated AKI (COVID-19 AKI) associated high mortality serves an independent risk factor for all-cause in-hospital death COVID-19. The pathophysiology mechanisms COVID-19 have not been fully elucidated seem be multifactorial, keeping other who are critically ill. Little about prevention management AKI. emergence regional ‘surges’ cases limit hospital resources, including dialysis availability supplies; thus, careful daily assessment available resources needed. In this Consensus Statement, Acute Disease Quality Initiative provides recommendations diagnosis, based on current literature. We make areas future research, which aimed at improving understanding underlying processes outcomes
Language: Английский
Citations
616
Acute Medicine & Surgery, Journal Year: 2019, Volume and Issue: 6(3), P. 233 - 246
Published: April 25, 2019
Expanding elderly populations are a major social challenge in advanced countries worldwide and have led to rapid increase the number of patients intensive care units ( ICU s). Innovative advances medical technology enabled lifesaving s, but there remain various problems improve their long‐term prognoses. Post‐intensive syndrome PICS ) refers physical, cognition, mental impairments that occur during stay, after discharge or hospital discharge, as well prognosis patients. Its concept also applies pediatric ‐p) status family ‐F). Intensive unit‐acquired weakness, characterized by acute symmetrical limb muscle weakness admission, belongs physical three domains . Prevention requires performance ABCDEFGH bundle, which incorporates prevention delirium, early rehabilitation, intervention, follow‐up from time admission discharge. Diary, nutrition, nursing care, environmental management for healing important This review outlines pathophysiology, prevention, future directions
Language: Английский
Citations
464
Intensive Care Medicine, Journal Year: 2019, Volume and Issue: 45(6), P. 757 - 769
Published: March 19, 2019
Language: Английский
Citations
429
Clinical Nutrition, Journal Year: 2022, Volume and Issue: 41(6), P. 1357 - 1424
Published: Feb. 26, 2022
Language: Английский
Citations
384
Critical Care, Journal Year: 2019, Volume and Issue: 23(1)
Published: Nov. 21, 2019
Abstract Background Although mortality due to critical illness has fallen over decades, the number of patients with long-term functional disabilities increased, leading impaired quality life and significant healthcare costs. As an essential part multimodal interventions available improve outcome illness, optimal nutrition therapy should be provided during after ICU discharge, following hospital discharge. Methods This narrative review summarizes latest scientific insights guidelines on delivery. Practical guidance is given provide three phases patient journey. Results Based recent literature guidelines, gradual progression caloric protein targets initial phase stay recommended. After this phase, full dose can provided, preferably based indirect calorimetry. Phosphate monitored detect refeeding hypophosphatemia, when occurring, restriction instituted. For proteins, at least 1.3 g proteins/kg/day targeted phase. During chronic higher protein/caloric combined exercise. achieving more difficult than reaching goals, in particular removal feeding tube. probably very high-dose calorie for prolonged duration necessary optimize outcome. High-protein oral supplements are likely period. Several pharmacological options combine enhance anabolic response stimulate muscle synthesis. Conclusions care, reduce likelihood becoming a “victim” illness. Frequently, not achieved any recovery. Personalized therapy, while respecting different journey prescribed monitored.
Language: Английский
Citations
265
Clinical Nutrition, Journal Year: 2023, Volume and Issue: 42(9), P. 1671 - 1689
Published: July 15, 2023
Language: Английский
Citations
241
Annals of Intensive Care, Journal Year: 2020, Volume and Issue: 10(1)
Published: June 6, 2020
Abstract Background The ongoing coronavirus disease 2019 (COVID-2019) pandemic has swept all over the world, posing a great pressure on critical care resources due to large number of patients needing care. Statements from front-line experts in field intensive are urgently needed. Methods Sixteen China fighting against COVID-19 epidemic Wuhan were organized develop an expert statement after 5 rounds seminars and discussions provide trustworthy recommendation management critically ill patients. Each was assigned tasks within their expertise draft statements rationale. Parts based epidemiological clinical evidence, without available scientific evidences. Results A comprehensive document with 46 presented, including protection medical personnel, etiological treatment, diagnosis treatment tissue organ functional impairment, psychological interventions, immunity therapy, nutritional support, transportation Among them, recommendations strong (Grade 1), 21 weak 2), 20 experts’ opinions. agreement voting participants obtained for recommendations. Conclusion There still no targeted therapies Dynamic monitoring supportive restoration vascularization function particularly important.
Language: Английский
Citations
235
Journal of Parenteral and Enteral Nutrition, Journal Year: 2020, Volume and Issue: 44(7), P. 1174 - 1184
Published: May 28, 2020
Abstract In the midst of a coronavirus disease 2019 (COVID‐19) pandemic, paucity data precludes derivation COVID‐19–specific recommendations for nutrition therapy. Until more are available, focus must be centered on principles critical care modified constraints this process, ie, COVID‐19–relevant recommendations. Delivery therapy include strategies to reduce exposure and spread by providing clustered care, adequate protection healthcare providers, preservation personal protective equipment. Enteral (EN) should initiated early after admission intensive unit (ICU) using standard isosmolar polymeric formula, starting at trophic doses advancing as tolerated, while monitoring gastrointestinal intolerance, hemodynamic instability, metabolic derangements. Intragastric EN may provided safely, even with use prone‐positioning extracorporeal membrane oxygenation. Clinicians have lower threshold switching parenteral in cases high risk aspiration, or escalating vasopressor support. Although extrapolated from experience acute respiratory distress syndrome warrants fiber additives probiotic organisms, lack benefit recommendation micronutrient supplementation. Practices that increase contamination equipment, such gastric residual volumes, indirect calorimetry calculate requirements, endoscopy fluoroscopy achieve enteral access, transport out ICU additional imaging, avoided. At all times, need assessed risk/benefit basis, paying attention both patient provider.
Language: Английский
Citations
212