Vitamin and trace element administration during continuous renal replacement therapy (CRRT) in the intensive care unit (ICU)

T. Datzmann, K. Träger
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Abstract

Administration of nutrients during critical illness is depicted in current guidelines, e.g. in the guidelines of the American Society for Parenteral and Enteral Nutrition (ASPEN) [1] or in the European Society for clinical Nutrition and Metabolism (ESPEN) [2]. Special recommendations for critically ill children requiring continuous renal replacement therapy (CRRT) also exist [3]. The prescription of micronutrients like vitamins and trace elements is of moderate evidence especially for renal dysfunction and during CRRT and solid data of adequate micronutrient administration during critical illness are lacking. The dynamic of critical illness should be kept in mind which can have a relevant impact for vitamin or trace element requirement.
重症监护病房(ICU)持续肾替代治疗(CRRT)期间维生素和微量元素的应用
危重疾病期间的营养管理在当前的指南中有描述,例如美国肠外和肠内营养学会(ASPEN)的指南[1]或欧洲临床营养和代谢学会(ESPEN)的指南[2]。对于需要持续肾替代治疗(CRRT)的危重儿童也有特别建议[3]。维生素和微量元素等微量营养素的处方,特别是在肾功能障碍和CRRT期间,缺乏适度的证据,在危重疾病期间缺乏足够的微量营养素管理的可靠数据。危重疾病的动态应牢记,这可能对维生素或微量元素的需求产生相关影响。
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