ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2020
[Medical nutrition therapy in intensive care medicine : Summary of the updated DGEM guideline].
Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- [Core curriculum Medical intensive care medicine of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN)].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2021Review
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Abstract
The course of a critical illness is divided into several phases (early and late acute phase, post-acute phase) in which different metabolic processes take place. Accordingly, the medical nutrition therapy needs to be adapted to the patient's metabolic tolerance in each phase. When indicated, it should be started within 24 h. If oral administration is not possible, an enteral diet should be used. In individuals with contraindications, parenteral nutrition should be started. The target values for the diet of nonobese patients in the late acute phase are 24 kcal and 1.0 g protein (or 1.2 g amino acid) per kilogram bodyweight. The individual metabolic tolerance can be estimated based on the extent of insulin resistance and serum phosphate levels, and the nutrition therapy is adjusted accordingly.
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