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Suplemento
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| Chapter 16: Guidelines for specialized nutritional and metabolic support in thecritically-ill patient. Update. Consensus SEMICYUC-SENPE:Neurocritical patient |
| J. Acosta Escribano, I. Herrero Meseguer And R. Conejero García-quijada |
| Nutr Hop. 2011;26(Sup2):72-75 doi:10.3305/nh.2011.26.sup2.5719 |
 PDF (71,6kb)
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| Abstract |
| Neurocritical patients require specialized nutritional
support due to their intense catabolism and prolonged
fasting. The preferred route of nutrient administration is
the gastrointestinal route, especially the gastric route.
Alternatives are the transpyloric route or mixed enteralparenteral
nutrition if an effective nutritional volume of
more than 60% cannot be obtained.
Total calore intake ranges from 20-30 kcal/kg/day,
depending on the period of the clinical course, with protein
intake higher than 20% of total calories (hyperproteic
diet). Nutritional support should be initiated early.
The incidence of gastrointestinal complications is gene -
rally higher to other critically-ill patients, the most frequent
complication being an increase in gastric residual
volume. As in other critically-ill patients, glycemia should
be closely monitored and maintained below 150 mg/dL. |
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