РЕСПИРАТОРНАЯ И НУТРИТИВНАЯ ПОДДЕРЖКИ: КАК ИХ СОВМЕСТИТЬ?
Клинические рекомендации
Дата публикации: сентября 24, 2020
Ключевые слова
дыхательная недостаточность
нутритивная поддержка
нутритивная поддержка
Как цитировать
Мещеряков А. А., Пасечник И. Н., Крылов В. В. РЕСПИРАТОРНАЯ И НУТРИТИВНАЯ ПОДДЕРЖКИ: КАК ИХ СОВМЕСТИТЬ? // Кремлевская медицина. Клинический вестник.. 2020. Т. № 3. С. 138-143.
Аннотация
В статье рассматриваются вопросы диагностики и коррекции пищевого статуса у больных с дыхательной недостаточностью. Подчеркивается, что пандемия новой коронавирусной инфекции ассоциирована с большой частотой развития тяжелой внебольничной пневмонии и острого респираторного синдрома, требующих проведения респираторной поддержки. При этом нутритивная поддержка должна быть дифференцированной и учитывать выраженность дыхательной недостаточности и вид респираторной терапии. Важной является преемственность в оказании помощи больным после их выписки из отделения реанимации и интенсивной терапии в отделения общего профиля.Литература
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21. Leder S. B. et al. Oral alimentation in neonatal and adult populations requiring high-flow oxygen via nasal cannula //Dysphagia. – 2016. – V. 31. – №. 2. – P. 154-159. doi: 10.1007/s00455-015- 9669-3.
22. Ridley E. J. et al. What Happens to Nutrition Intake in the Post–Intensive Care Unit Hospitalization Per iod? An Observational Cohort Study in Critically Ill Adults //Journal of Parenteral and Enteral Nutrition. – 2019. – V. 43. – №. 1. – P. 88-95.
23. Zuercher P. et al. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management //Critical care. – 2019. – V. 23. – №. 1. – P. 103.doi: 10.1186/s13054-019-2400-2.
24. O'Neil K. H. et al. The dysphagia outcome and severity scale // Dysphagia. – 1999. – V. 14. – №. 3. – P. 139-145.
25. Белкин А. А., Ершов В. И., Иванова Г. Е. Нарушение глотания при неотложных состояниях—постэкстубационная дисфагия //Анестезиология и реаниматология. – 2018. – №. 4. – С. 76-82. [Belkin A. A., Yershov V. I., Ivanova G. E. Violation of swallowing in emergency conditions — postextubation dysphagia. Anesteziologiya i reanimatologiya (Anesthesiology and resuscitation). 2018;4: 76-82. In Russian]. doi: 10.17116/anaesthesiology201804176.
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27. Skoretz S. A., Flowers H. L., Martino R. The incidence of dysphagia following endotracheal intubation: a systematic review // Chest. – 2010. – V. 137. – №. 3. – P. 665-673. doi: 10.1378/chest.09-1823.
28. Macht M. et al. Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness // Critical care. – 2011. – V. 15. – №. 5. – P. R231. doi: 10.1186/cc10472.
29. Rofes L., Arreola V., Clav P. The volume-viscosity swallow test for clinical screening of dysphagia and aspiration //Stepping Stones to Living Well with Dysphagia. – Karger Publishers, 2012. – V. 72. – P. 33-42. doi: 10.1159/000339979.
30. Норвилс С. Н., Петрова А. В. Тактика логопедической работы и выбор клинического питания для пациента с нарушением глотания после перенесенного инсульта (клинический случай) // ConsiliumMedicum. – 2018. – Т. 20. – №. 9. [Norvils S. N., Petrova A.V. Tactics of speech therapy and choice of clinical nutrition for a patient with swallowing disorders after a stroke (clinical case). ConsiliumMedicum. 2018; 20 (9): 17–21. In Russian]. doi: 10.26442/2075- 1753_2018.9.17-21.
31. Puthucheary Z. A., Wischmeyer P. Predicting critical illness mortality and personalizing therapy: moving to multi-dimensional data.– 2017.doi: 10.1186/s13054-016-1597-6.
2. Gattinoni L. et al. COVID-19 pneumonia: different respiratory treatments for different phenotypes? – 2020.doi: 10.1007/s00134- 020-06033-2.
3. Force A. D. T. et al. Acute respiratory distress syndrome // Jama. – 2012. – V. 307. – №. 23. – P. 2526-2533.doi: 10.1001/ jama.2012.5669.
4. Arulkumaran N. et al. Use of non-invasive ventilation for patients with COVID-19: a cause for concern? //The Lancet. Respiratory Medicine. – 2020.Doi.org/10.1016/ S2213-2600(20)30181-8.
5. Singer P. et al. ESPEN guideline on clinical nutrition in the intensive care unit //Clinical nutrition. – 2019. – V. 38. – №. 1. – P. 48-79.
6. Barazzoni R. et al. ESPEN expert statements and practical guidance for nutritional management of individuals with SARS-CoV-2 infection. – 2020. doi: 10.1016/j.clnu.2020.03.022.
7. Terzi N. et al. Initial nutritional management during noninvasive ventilation and outcomes: a retrospective cohort study //Critical Care. – 2017. – V. 21. – №. 1. – P. 293. doi: 10.1186/s13054-017-1867-y.
8. Elia M. The ‘MUST’report //Nutritional screening for adults: a multidisciplinary responsibility. Development and use of the Malnutrition Universal Screening Tool’(‘MUST’) for adults. A report by the Malnutrition Advisory Group of the British Association for Parenteral and Enteral Nutrition. – 2003. – P. 127.
9. Kondrup J. et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials //Clinical nutrition. – 2003. – V. 22. – №. 3. – P. 321-336.
10. Heyland D. K. et al. Identifying critically ill patients who benefit the most from nutrition therapy: the development and initial validation of a novel risk assessment tool //Critical Care. – 2011. – V. 15. – №. 6. – P. R268.doi: 10.1186/cc10546.
11. Singer P., Rattanachaiwong S. To eat or to breathe? The answer is both! Nutritional management during noninvasive ventilation. – 2018.doi: 10.1186/s13054-018-1947-7.
12. Пасечник И. Н. Нутритивная поддержка больных коронавирусной инфекцией в критических состояниях //Анестезиология и реаниматология. – 2020. – Т. 3. – С. 3. [Pasechnik I.N. Nutritional support for patients with critical coronavirus infection. Anesteziologiya i reanimatologiya(Anesthesiology and resuscitation). 2020;(3): 70-75. doi: 10.17116/ anaesthesiology202003170. In Russian.
13. Lewis S. J., Andersen H. K., Thomas S. Early enteral nutrition within 24 h of intestinal surgery versus later commencement of feeding: a systematic review and meta-analysis //Journal of Gastrointestinal Surgery. – 2009. – V. 13. – №. 3. – P. 569. doi: 10.1007/s11605-008-0592-x.
14. Elke G. et al. Enteral versus parenteral nutrition in critically ill patients: an updated systematic review and meta-analysis of randomized controlled trials //Critical Care. – 2016. – V. 20. – №. 1. – P. 1-14. doi: 10.1186/s13054-016-1298-1.
15. vanZanten A. R. H., De Waele E., Wischmeyer P. E. Nutrition therapy and critical illness: practical guidance for the ICU, post-ICU, and long-term convalescence phases //Critical Care. – 2019. – V. 23. – №. 1. – P. 36 8.
16. Pradelli L. et al. 3 fatty acid enriched parenteral nutrition in hospitalized patients: systematic review with meta analysis and trial sequential analysis //Journal of Parenteral and Enteral Nutrition. – 2020. – V. 44. – №. 1. – P. 44-57.doi: 10.1002/jpen.1672.
17. Bendavid I. et al. NutritionDay ICU: a 7 year worldwide prevalence study of nutrition practice in intensive care //Clinical nutrition. – 2017. – V. 36. – №. 4. – P. 1122-1129.doi: 10.1016/j.clnu.2016.07.012.
18. So E. C. et al. A new mask designed for patients implanted with a nasogastric tube //Medical engineering& physics. – 2008. – V. 30. – №. 8. – P. 1020-1023.
19. Patel B. K. et al. Effect of noninvasive ventilation delivered by helmet vs face mask on the rate of endotracheal intubation in patients with acute respiratory distress syndrome: a randomized clinical trial // Jama. – 2016. – V. 315. – №. 22. – P. 2435-2441.doi: 10.1001/ jama.2016.6338.
20. Peterson S. J. et al. Adequacy of oral intake in critically ill patients 1 week after extubation //Journal of the American Dietetic Association. – 2010. – V. 110. – №. 3. – P. 427-433. doi: 10.1016/j. jada.2009.11.020.
21. Leder S. B. et al. Oral alimentation in neonatal and adult populations requiring high-flow oxygen via nasal cannula //Dysphagia. – 2016. – V. 31. – №. 2. – P. 154-159. doi: 10.1007/s00455-015- 9669-3.
22. Ridley E. J. et al. What Happens to Nutrition Intake in the Post–Intensive Care Unit Hospitalization Per iod? An Observational Cohort Study in Critically Ill Adults //Journal of Parenteral and Enteral Nutrition. – 2019. – V. 43. – №. 1. – P. 88-95.
23. Zuercher P. et al. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management //Critical care. – 2019. – V. 23. – №. 1. – P. 103.doi: 10.1186/s13054-019-2400-2.
24. O'Neil K. H. et al. The dysphagia outcome and severity scale // Dysphagia. – 1999. – V. 14. – №. 3. – P. 139-145.
25. Белкин А. А., Ершов В. И., Иванова Г. Е. Нарушение глотания при неотложных состояниях—постэкстубационная дисфагия //Анестезиология и реаниматология. – 2018. – №. 4. – С. 76-82. [Belkin A. A., Yershov V. I., Ivanova G. E. Violation of swallowing in emergency conditions — postextubation dysphagia. Anesteziologiya i reanimatologiya (Anesthesiology and resuscitation). 2018;4: 76-82. In Russian]. doi: 10.17116/anaesthesiology201804176.
26. Inoue S. et al. Post intensive care syndrome: its pathophysiology, prevention, and future directions //Acute Medicine & Surgery. – 2019. – V. 6. – №. 3. – P. 233-246.doi: 10.1002/ams2.415.
27. Skoretz S. A., Flowers H. L., Martino R. The incidence of dysphagia following endotracheal intubation: a systematic review // Chest. – 2010. – V. 137. – №. 3. – P. 665-673. doi: 10.1378/chest.09-1823.
28. Macht M. et al. Postextubation dysphagia is persistent and associated with poor outcomes in survivors of critical illness // Critical care. – 2011. – V. 15. – №. 5. – P. R231. doi: 10.1186/cc10472.
29. Rofes L., Arreola V., Clav P. The volume-viscosity swallow test for clinical screening of dysphagia and aspiration //Stepping Stones to Living Well with Dysphagia. – Karger Publishers, 2012. – V. 72. – P. 33-42. doi: 10.1159/000339979.
30. Норвилс С. Н., Петрова А. В. Тактика логопедической работы и выбор клинического питания для пациента с нарушением глотания после перенесенного инсульта (клинический случай) // ConsiliumMedicum. – 2018. – Т. 20. – №. 9. [Norvils S. N., Petrova A.V. Tactics of speech therapy and choice of clinical nutrition for a patient with swallowing disorders after a stroke (clinical case). ConsiliumMedicum. 2018; 20 (9): 17–21. In Russian]. doi: 10.26442/2075- 1753_2018.9.17-21.
31. Puthucheary Z. A., Wischmeyer P. Predicting critical illness mortality and personalizing therapy: moving to multi-dimensional data.– 2017.doi: 10.1186/s13054-016-1597-6.