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Leyderman I.N.

Russian Federation of Anesthesiologists and Reanimatologists, Russia

Gritsan A.I.

Krasnoiarskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. prof. V.F. Voĭno-Iasenetskogo

Zabolotskikh I.B.

FGBOU VO «Kuban State Medical University» Ministry of Health of Russia, Krasnodar, Russia

Krilov K.Yu.

Russian Federation of Anesthesiologists and Reanimatologists, Russia

Lebedinskii K.M.

FGBOU VO «North-West State Medical University named after I.I. Mechnikov» Ministry of Health of Russia, St. Petersburg, Russia

Mazurok V.A.

FGBU «Federal North-West medical research center named after V.A. Almazov» of Ministry of healthcare of Russia, St. Petersburg, Russia

Nikolaenko E.M.

NCUS «Scientific clinical center of open joint stock company «Russian Railways», Moscow, Russia

Yaroshetsky A.I.

FGBOU VO «Russian national research medical University named after N.I. Pirogov» of Ministry of health of Russia, Moscow, Russia

Metabolic monitoring and nutritional support in prolonged mechanically ventilated (MV) patients. Clinical guidelines

Authors:

Leyderman I.N., Gritsan A.I., Zabolotskikh I.B., Krilov K.Yu., Lebedinskii K.M., Mazurok V.A., Nikolaenko E.M., Yaroshetsky A.I.

More about the authors

Journal: Russian Journal of Anesthesiology and Reanimatology. 2019;(4): 5‑19

DOI: 10.17116/anaesthesiology20190415

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Table of contents

METABOLIC MONITORING AND NUTRITIONAL SUPPORT IN PROLONGED MECHANICALLY VENTILATED (MV) PATIENTS. CLINICAL GUIDELINES
METABOLIC MONITORING AND NUTRITIONAL SUPPORT IN PROLONGED MECHANICALLY VENTILATED (MV) PATIENTS. CLINICAL GUIDELINES

To cite this article:

Leyderman IN, Gritsan AI, Zabolotskikh IB, et al. . Metabolic monitoring and nutritional support in prolonged mechanically ventilated (MV) patients. Clinical guidelines. Russian Journal of Anesthesiology and Reanimatology. 2019;(4):5‑19. (In Russ.)
https://doi.org/10.17116/anaesthesiology20190415

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Abstract:

Abstract Malnutrition among mechanically ventilated (MV) ICU patients is a common problem. Severity of malnutrition is closely correlated with duration of MV, length of ICU- and hospital-stay, rate of infectious complications, poor outcomes and increased costs. Clinical guidelines are devoted to the key principles of prevention, diagnosis and treatment of protein-energy malnutrition (PEM) syndrome in prolonged mechanically ventilated ICU patients. Main principles of indirect calorimetry are presented in accordance with MV peculiarities. The choice of methods for diagnosis and correction of PEM is based on studies evaluated from the endpoints of evidence-based medicine. The key quality criteria for treatment, as well as algorithm of anesthesiologist-reanimatologist during prolonged MV are presented in the applications.

Keywords:

respiratory failure
mechanical ventilation
indirect calorimetry
metabolism
protein-energy malnutrition
nutritional status
parenteral nutrition
enteral nutrition
nutritional support

Authors:

Leyderman I.N.

Russian Federation of Anesthesiologists and Reanimatologists, Russia

Gritsan A.I.

Krasnoiarskiĭ gosudarstvennyĭ meditsinskiĭ universitet im. prof. V.F. Voĭno-Iasenetskogo

Zabolotskikh I.B.

FGBOU VO «Kuban State Medical University» Ministry of Health of Russia, Krasnodar, Russia

Krilov K.Yu.

Russian Federation of Anesthesiologists and Reanimatologists, Russia

Lebedinskii K.M.

FGBOU VO «North-West State Medical University named after I.I. Mechnikov» Ministry of Health of Russia, St. Petersburg, Russia

Mazurok V.A.

FGBU «Federal North-West medical research center named after V.A. Almazov» of Ministry of healthcare of Russia, St. Petersburg, Russia

Nikolaenko E.M.

NCUS «Scientific clinical center of open joint stock company «Russian Railways», Moscow, Russia

Yaroshetsky A.I.

FGBOU VO «Russian national research medical University named after N.I. Pirogov» of Ministry of health of Russia, Moscow, Russia

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