Assessment of nutritional support in on intensive core unit

Authors

  • Ana Ruivo Assistente Eventual de Medicina Interna, Serviço de Medicina do Hospital de São José, Lisboa
  • M. Ermelinda Camilo Professora Auxiliar da Faculdade de Medicina de Lisboa, Gra­duada em Chefe de Serviço de Gastrenterologia, Serviço de Medicina 2, Comissão de Nutrição e Grupo de Nutrição do Hospital de Santa Maria
  • Lurdes Tavares Assistente Graduada de Medicina Interna, Serviço de Medicina 2 e Comissão de Nutrição do Hospital de Santa Maria, Lisboa
  • Manuela Resende Dietista, Comissão de Nutrição e Grupo de Nutrição do Hospital de Santa Maria, Lisboa
  • M. Glória Dias Assistente Eventual de Cirurgia Cardiotorácica, Unidade de Cuidados Intensivos do Serviço de Cirurgia Car­diotorácica do Hospital de Santa Maria, Lisboa
  • Rui de Lima Director do Serviço de Cirurgia Cardiotorácica, Unidade de Cuidados Intensivos do Serviço de Cirurgia Car­diotorácica do Hospital de Santa Maria

Keywords:

nutrition, enteral nutrition, oral nu­trition, nutritional assessment, intensive care

Abstract

The objective of this paper was to evaluate the appropriateness and execution of a protocol of enteral nutrition, devised for a specialized in­ tensive care unit. Over a 3 month period 34 re­cords, with an admission period over 48 hours, were evaluated. Current simple clinical or labo­ratory parameters of nutritional assessment are not yet into practice. Registers of nutritional support provided are inadequate, though ente­ral or parenteral regimens are regarded with greater care. Polimeric diets are adequate; a semi­ elemental diet is seldom necessary. The protocol was appropriate but there is a need for close supervision regarding proficiency of care. A new protocol with an individualized registry sheet and guidelines for nutritional needs is proposed.

Downloads

Download data is not yet available.

References

Bistriani Br, Blackhurn GL, Hallowell E, Heddle R. Protein sta­tus of general surgical patients. JAMA 1974; 230: 858-860.

Bistrian Hr, Blakhurn GI, Vitale J, Cochran D, Naylov J Prevalence of malnutrition in general medical patients. JAMA 1976; 253 1567-1570.

McwirterJp, Pennington Cr. Incidence and recognition of mal­ nutrition in hospital. HMJ 1994; 308: 945-948.

Garow J. Starvation in hospital. BMJ 1994; 308: 934

Burnham WR. The role of a nutrition support team. ln: J. Pay­ ne-James, G. Grimble, D. Silk eds. Artificial nutrition su­pport in clinicai practice. London: Edward Arnold, 1995: 175-186.

Allison SP. The uses and limitations of nutritional support. Clin Nutr 1992; 11: 319-330.

Barton RG. Nutrition support in critical illness. Nutr Clin Pract 1994; 9: 127-139.

Marino PL. The ICU Book. Philadelphia: Lea & Febiger. 1991: 415-512.

Silk . Towards the optimisation of enteral nutrition. Clin Nutr 1987; 6: 61-74.

Payne-James JJ, De Gara CJ, Grimble GK et al. Artificial nutri­tion support in hospitais in the United Kingdom - 1991; second national survey. Clin Nutr 1992; II: 187-192.

Braga M, Bozetti F, Dionigi P et al. Parenteral and enteral fee­ ding in hospitais in ltaly: a national survey. Clin Nutr 1994; 13: 153-160.

Camilo ME. Manual de Nutrição Clínica. Ed. Hospital de Santa Maria. 1985.

Payne-James J. Artificial nutrition support terminology. JPEN 1995; 19 250.

Christman JW, Me Cain RW. A sensible approach to the nutri­tional support of the mecanically ventilated critically ill pa­tients. Intensive Care Med 1993; 19: 129-136.

Heyland DK, Cook DJ, Guyatt GH. Enteral nutrition in the critically ill patient: a criticai review of the evidence. lnten­sive Med Care 1993; 19: 435-442.

Clevenger FW, Rodriguez DJ. Decision-making for enteral fe­eding administration: the why behind where and how. Nutr Clin Pract 1995; 10: 104-113.

Anderton A. Bacterial contamination of enteral feeds and fee­ ding systems. Clin Nutr 1993; 12 (suppl 1) 516-532.

Camilo ME, Tavares MT, Matos L, Pinto Correia J. Which "nu­tritional support" in a ICU of Gastroenterology' V lnt. Symp. on Gastro Emergencies, 1984 (A).

Abernathy GB, Heizer WD, Holcombe BJ, Raasch RH, Schle­gel KE, Hak LJ. Efficacy of tube feeding in supplying ener­gy requiremenL of hospitalized patients. JPEN 1989; 13: 387-391.

Powers DA, Brown RO, Cowan GSM, Luther RW, Sutherland DA, Drexler PG. Nutritional support team vs nonteam ma­nagement of enteral nutritional support in a veterans admi­nistration medical center teaching hospital. JPEN 1986; 10: 635-638.

Silk DBA. Enteral diet choices and formulations. ln Payne­ James J, Grimble G, Silk D eds. Artificial Nutrition Support in Clinical Practice. London: Edward Arnold. 1995: 215-245.

Detsky AS, Me LaughlinJR, Baker JP, Johnston N, Whittaker S, Mendelson RA, Jeejeebhoy KN. What is subjective global assessment of nutritional status? JPEN 1987; 11: 8-13.

Roubenoff R, Roubenoff RA, Preto J, Balke W. Malnutrition among hospitalized patients: a problem of physician awa­reness. Arch lnt Med 1987; 147: 1462-1465.

Moran BJ, Jackson AA. Nutrition education. Clin Nutr 1995; 14: 191-192

Additional Files

Published

1997-06-30

How to Cite

1.
Ruivo A, Camilo ME, Tavares L, Resende M, Dias MG, de Lima R. Assessment of nutritional support in on intensive core unit. RPMI [Internet]. 1997 Jun. 30 [cited 2024 May 19];4(2):80-6. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2203

Issue

Vol. 4 No. 2 (1997): Abril/ Junho

Section

Original Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2023 Medicina Interna

Open Access

Most read articles by the same author(s)