Advances in artificial nutrition in intensive care: organ – specific substrates

Czech version

Authors: Z. Zadák ¹; P. Vyroubal ²
Authors‘ workplace: Centrum pro výzkum a vývoj LF UK a FN, Hradec Králové ¹; KLINIKA GERONTOLOGICKÁ A METABOLICKÁ LF UK A FN HRADEC KRÁLOVÉ ²
Published in: Anest. intenziv. Med., 19, 2008, č. 1, s. 62-65
Category: Intensive Medicine

Overview

A combination of novel amino acid formulae of a higher generation and the recognition of the conditional essential character of amino acids introduce new options for the management of critical illness. The effectiveness of specific types of nutrition is further increased by a combination with new types of fat emulsions based on a combination of triacyl-glycerols and saturated fatty acids, MCT oils, monoen-triacylglycerols and an optimal combination of triacyl-glycerols containing omega-3 and omega-6 fatty acids.

An indubitable contribution and a pioneer trend is the combination of higher generations of the amino acid formulae Neonutrin 10% and 15% and optimized fat emulsions of the SMOFlipid type in all-in-one mixtures for intensive care.

Keywords:
artificial nutrition – specific nutrients – amino solutions – lipid emulsions – pharmaconutrition

Sources

1. Zadák, Z. Výživa v intenzívní péči. 1. vyd., Praha : Grada 2002, ISBN 80-247-0320-3, s.81-87.

2. Zadák, Z. Terapie malnutrice a katabolismu. In Marek, J. et al. Farmakoterapie vnitřních nemocí. Praha : Grada 2005, 3. vydání, s. 579–600.

3. Zadák, Z., Havel, E. et al. Intenzivní medicína na principech vnitřního lékařství. 1. vyd. Praha : Grada Publishing 2007, ISBN 978-80-247-2099-9.

4. Carpentier, Y. A. Lipid Emulsions. In Fürst, P. W. Strategies in Clinical Nutrition. München, Germany : Zuckschwerdt Verlag GmbH 1993, s. 52–63.

5. Těšínský, P., Rušavý, Z. Doporučené postupy v enterální výživě. Klinická výživa a intenzivní metabolická péče, 2002, 2, 1, s. 27–31.

Labels

Anaesthesiology, Resuscitation and Inten Intensive Care Medicine

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Is haemocoagulation inhibitor therapy in sepsis appropriate?

Advances in mechanical ventilation in children

Advances in the prevention, diagnostics and therapy of ventilator associated pneumonia

Advances in nephrology in critically ill patients

Blood purification and acute renal failure: the timing, method selection and dosing of renal replacement therapy

Neuromonitoring of brain injury patients

Polyneuropathy and myopathy of critically ill patients – what’s new?

Current treatment of sepsis in children

The management of severe acute pancreatitis – state of the art

The use of ultrasound in the critically ill patient

Withholding and withdrawing therapy in the intensive care unit – the French approach

Article was published in

Anaesthesiology and Intensive Care Medicine

2008 Issue 1