The choice of methods for assessing the metabolic status of a patient in the intensive care unit

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Abstract

Adequate nutritional support for critically ill patients has always been (and still remains) one of the main, complex and not fully resolved problems of modern intensive care, which, unfortunately, often remains without due attention. In everyday practice, in order to adequately correct nutritional deficiency, the resuscitator must, first of all, correctly assess the trophological status of the patient. Currently, there exists a large selection of nutrients and different methods for assessing metabolic status. The paper presents a critical analysis of existing methods for assessing the nutritional status and algorithms for the personalized choice of each of them in a specific clinical situation in critically ill patients.

About the authors

Evgeniy D. Slastnikov

S.P. Botkin City Clinical Hospital

Author for correspondence.
Email: slast08@yandex.ru
ORCID iD: 0000-0003-2843-8672
SPIN-code: 3266-4470
Russian Federation, Moscow

Alexey V. Blasenko

S.P. Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education

Email: dr.vlasenko67@mail.ru
ORCID iD: 0000-0003-4535-2563
SPIN-code: 2618-0810

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow

Evgeniy A. Evdokimov

Russian Medical Academy of Continuous Professional Education

Email: ea_evdokimov@mail.ru
SPIN-code: 1296-7365

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Alexander E. Shestopalov

Russian Medical Academy of Continuous Professional Education

Email: ashest@yandex.ru
ORCID iD: 0000-0002-5278-7058
SPIN-code: 7531-6925

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow

Evgeniy P. Rodionov

S.P. Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education

Email: dr.rodionov@gmail.com
ORCID iD: 0000-0002-3852-8877
SPIN-code: 2248-2175

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow; Moscow

Albert G. Koryakin

S.P. Botkin City Clinical Hospital

Email: koriakinalbert@gmail.com
ORCID iD: 0000-0002-5477-4242
SPIN-code: 3163-3151
Russian Federation, Moscow

Ivan S. Klyuev

S.P. Botkin City Clinical Hospital

Email: ivan.kluev11@gmail.com
ORCID iD: 0000-0003-1050-0415
Russian Federation, Moscow

Victoria I. Makovei

Russian Medical Academy of Continuous Professional Education

Email: nica-m-med@yandex.ru
ORCID iD: 0000-0002-7263-0058

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow

Vladimir V. Erofeev

Russian Medical Academy of Continuous Professional Education

Email: ErofeevVV@rmapo.ru
ORCID iD: 0000-0002-7320-3322
SPIN-code: 4802-4328

MD, Cand. Sci. (Medicine)

Russian Federation, Moscow

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