Experience in organizing a clinical nutrition and metabolism laboratory and creating a nutritional support system in the ICU and intensive care departments
- 作者: Krylov K.1,2,3, Petrova M.4,5, Shestopalov A.4,6, Yakovleva A.4, Yakovlev A.4
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隶属关系:
- Pirogov Russian National Research Medical University
- Federal Center for Brain and Neurotechnologies
- N.N. Burdenko National Medical Research Center for Neurosurgery
- Federal Scientific and Clinical Center for Resuscitation and Rehabilitology
- Peoples’ Friendship University of Russia
- Russian Medical Academy of Continuous Professional Education
- 期: 卷 3, 编号 2 (2022)
- 页面: 112-118
- 栏目: Editorial
- URL: https://journals.rcsi.science/2658-4433/article/view/109306
- DOI: https://doi.org/10.17816/clinutr109306
- ID: 109306
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全文:
详细
In the intensive care unit, along with other methods of intensive care, such as maintaining blood pressure, antibiotic therapy, mechanical ventilation, and vasopressors, clinical nutrition should always be present. Clinical nutrition is an integral part of the treatment process in the intensive care unit. A large number of publications concerning the prevention and treatment of intensive care outcome syndrome exist. One of the most important and low-cost strategies to prevent this condition is nutritional support for critically ill patients at all stages of curation, from the moment of admission to the intensive care unit to the end of the rehabilitation course. With the correct appointment of nutritional support, taking into account the indications and contraindications for various nosological forms, the advantages are obvious in the form of improved treatment outcomes. Proper organization of nutritional support in the hospital is the main key to success in early rehabilitation. From the understanding of nutritional support, its effectiveness will depend on its organization and mutual understanding between all links. Based on the experience of creating a laboratory for clinical nutrition and metabolism, it can be concluded that the creation of such a laboratory and the organization of clinical nutrition in a hospital can improve the results of treatment of even the most severe category of patients.
作者简介
Kirill Krylov
Pirogov Russian National Research Medical University; Federal Center for Brain and Neurotechnologies; N.N. Burdenko National Medical Research Center for Neurosurgery
编辑信件的主要联系方式.
Email: kkrylov@nsi.ru
ORCID iD: 0000-0002-1807-7546
SPIN 代码: 9435-0854
MD, Cand. Sci. (Med.)
俄罗斯联邦, Moscow; Moscow; MoscowMarina Petrova
Federal Scientific and Clinical Center for Resuscitation and Rehabilitology; Peoples’ Friendship University of Russia
Email: mpetrova@fnkcrr.ru
ORCID iD: 0000-0003-4272-0957
SPIN 代码: 9132-4190
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Moscow; MoscowAlexander Shestopalov
Federal Scientific and Clinical Center for Resuscitation and Rehabilitology; Russian Medical Academy of Continuous Professional Education
Email: ashest@yandex.ru
ORCID iD: 0000-0002-5278-7058
SPIN 代码: 7531-6925
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, Moscow; MoscowAlexandra Yakovleva
Federal Scientific and Clinical Center for Resuscitation and Rehabilitology
Email: avyakovleva@fnkcrr.ru
ORCID iD: 0000-0001-9903-7257
SPIN 代码: 3133-3281
MD
俄罗斯联邦, MoscowAlexey Yakovlev
Federal Scientific and Clinical Center for Resuscitation and Rehabilitology
Email: ayakovlev@fnkcrr.ru
ORCID iD: 0000-0002-8482-1249
SPIN 代码: 2783-9692
MD, Cand. Sci. (Med.)
俄罗斯联邦, Moscow参考
- Pasechnik IN. Nutritional support for critically ill patients (review). General Reanimatology. 2020;16(4):40–59. (In Russ). doi: 10.15360/1813-9779-2020-4-40-59
- Order of the Ministry of Health of Russia dated August 5, 2003 No. 330 (as amended on November 24, 2016) “On measures to improve clinical nutrition in medical institutions of the Russian Federation” (together with the “Regulations on the organization of the activities of a dietitian”, “Regulations on the organization of the activities of a dietary nurse”, “Regulations on the Council for Medical Nutrition of Medical Institutions”, “Instructions for the Organization of Medical Nutrition in Medical Institutions”) (Registered in the Ministry of Justice of Russia on September 12, 2003 No. 5073). Available from: http://www.consultant.ru/document/cons_doc_LAW_44323/. (In Russ).
- Luft VM, Bagnenko SF, editors. Guide to clinical nutrition. Saint Petersburg: I.I. Dzhanelidze Saint Petersburg Research Institute of Emergency Medicine; 2016. (In Russ).
- Sobotka L, editor. Basics in clinical nutrition. 4th ed. Prague: Galen; 2011. 47 p.
- Krylov KYu, Grechko AV, Petrova MV, et al. Nutritional-metabolic therapy in patients in chronic critical condition after cerebral accident: a guide for physicians. Moscow: Green Print; 2018. 40 p. (In Russ).