Malnutrition en soins intensifs: discussion d'un cas difficile. [Malnutrition and intensive care: discussion on a difficult case]
Details
Serval ID
serval:BIB_69AEA8415756
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Malnutrition en soins intensifs: discussion d'un cas difficile. [Malnutrition and intensive care: discussion on a difficult case]
Journal
Revue Médicale de la Suisse Romande
ISSN
0035-3655 (Print)
Publication state
Published
Issued date
06/2003
Volume
123
Number
6
Pages
383-6
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Jun
English Abstract
Journal Article --- Old month value: Jun
Abstract
Hospital malnutrition is an insidious problem which is responsible for many complications. Critically ill patients are frequently hypermetabolic with increased nutritional requirements, and are exposed to the risk of underfeeding. The case report presents the case of a patient which stayed 22 days in the intensive care unit (ICU), and whose nutritional support failed: he ultimately died of surgical and infectious complications. An optimal support includes a early metabolic support provided as glucose-insulin-potassium infusion and antioxidant micronutrients, with an enteral nutrition initiated on days 3 or 4. It is frequently difficult to reach energy targets with exclusive enteral nutrition: if the latter is not reached after 5-6 days of enteral feeding, combination with parenteral nutrition enables worsening of the energy deficit. Transition to oral feeding is another critical event which may expose the patient to underfeeding: prescription of oral supplements and/or maintenance of overnight enteral feeding providing 50-75% of energy requirements helps overcome this period. The case illustrates the importance of monitoring daily and cumulated energy balance.
Keywords
Aged
Humans
*Intensive Care
Male
Malnutrition/*therapy
Time Factors
Pubmed
Create date
24/01/2008 18:03
Last modification date
20/08/2019 15:24