2V4vSHf0l
2V4vSHf0l
2V4vSHf0l
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
DIRETRIZES BRASILEIRAS DE Ventilação Mecânica – 2013<br />
Dieta enteral enriquecida com óleo de peixe, óleo de borragem, vitaminas<br />
antioxidantes<br />
• Sugestão: pode-se utilizar formulações enterais com perfil lipídico anti-inflamatório<br />
e com antioxidantes para pacientes em VM com SARA 1,3,18,19,20,21 . Doses<br />
elevadas de ômega 3 devem ser evitadas para aqueles pacientes que apresentam<br />
distúrbios de coagulação 1,3,18,19,20,21<br />
Reposição de fósforo<br />
• Sugestão: pode-se repor o déficit de fósforo em pacientes sob VM. Esta consideração<br />
se justifica pela associação entre hipofosfatemia e falência da Retirada VM 22 .<br />
REFERÊNCIAS BIBLIOGRAFICAS – TEMA 29<br />
1. McClave SA, Martindale RG, Vanek VW, McCarthy M, Roberts P, Taylor B, Ochoa JB, Napolitano L, Cresci<br />
G. Nutrition (A.S.P.E.N.) Patient: : Society of Critical Care Medicine (SCCM) and American Society for<br />
Parenteral and Enteral Guidelines for the Provision and Assessment of Nutrition Support Therapy in the<br />
Adult Critically Ill. JPEN 2009;33: 277.<br />
2. Canadian clinical practice guidelines for nutrition support in mechanically ventilated, critically ill adults<br />
patients. JPEN J Parenter Enteral Nutr. 2003 Sep-Oct; 27(5):355-73. Updated recommendations 2013.<br />
Disponível em URL: www.criticalcarenutrition.com.<br />
3. Kreymann KG, Berger MM, Deutz NE, Hiesmayr M, Jolliet P, Kazandjiev PG, et al. ESPEN guidelines on<br />
enteral nutrition: intensive care. Clin Nutr 2006;25:210-2.<br />
4. Frankenfield DC; Ashcraft CM. Estimating energy needs in nutrition. JPEN 2011;35:563-570.<br />
5. Faisy C, Lerolle N, Dachraoui F, Savard JF, Abboud I, Tadie JM, Fagon JY. Impacto of energy deficit calculated<br />
by a predictive method on outcome in medical patients requiring prolonged acute mechanical<br />
ventilation. Bristish Journal of Nutrition 2009;101:1079-87.<br />
6. Weijs PJM; Stapel SN; Groot SDW; Driessen RH; Jong E; Girbes ARJ; Strack van chijndel RJM; Beishuizen<br />
A Optimal Protein and energy Nutrition Decreases Mortality in Mechanically Ventilated, Critically Ill<br />
Patients: A rospective Observational Cohort Study. JPEN 2012;36:60-68.<br />
7. Krenitsky J, Rosner MH. Nutritional Support for Patients with Acute Kidney Injury:How Much Protein is<br />
Enough or Too Much? Practical gastroenterology; june 2011.<br />
8. Chen F, Wang J, Jiang Y. Influence of different routes of nutrition on the respiratory muscle strength<br />
and outcome of elderly patients in respiratory intensive care unit. - Chinese Journal of Clinical Nutrition.<br />
2011;1:7-11. IN<br />
9. Marick PE, Zalog GP, Early nutrition in acutely ill patients: a systematic rewie. Crit Care Med 2001;29:<br />
2264-70.<br />
10. Doig GS; Heighes PT; Simpson F; Sweetman EA; Davies AR. Early enteral nutrition, provided within 24<br />
h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a<br />
135
Change language