ESPEN Guidelines on Enteral Nutrition: Liver disease

Plauth, Mathias; Cabré, Eduard; Riggio, Oliviero; Assis-Camilo, M.; Pirlich, Matthias; Kondrup, Jens; Ferenci, Péter; Holm, E.; Dahl, S; Müller, Manfred J.; Nolte, W.

doi:10.1016/j.clnu.2006.01.018

Cited by 598 publications

(517 citation statements)

References 49 publications

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“…Vitaminler (B grubu, C) ile mikronütrientler (özellikle çinko, fosfor, magnezyum) nütrisyon tedavisine eklenmeli ve mümkünse kan düzeyleri izlenmelidir. Özellikle parenteral nütrisyon uygulanan hastalarda kontaminasyon oluşmamasına ve kateter kaynaklı enfeksiyonlara dikkat edilmelidir (138)(139)(140)(141)(142).…”

Section: Postoperatif Nütrisyon Tedavisi Ve Gastrointestinal Sorunlarunclassified

Critical Care Management after Adult Liver Transplantation

Akan¹

2017

tybdd

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1ÖZ Karaciğer transplantasyonu uygulanan hastaların yoğun bakım yönetimi çok yönlü bir izlemi ve multidisipliner bir yaklaşımı gerektirir. Günümüzde ideal bir yoğun bakım tedavisi için deneyimli bir ekibe ve gelişmiş yoğun bakım/hastane olanaklarına gereksinim vardır. Karaciğer transplantasyon olgularının postoperatif yoğun bakım yönetimi zaman içinde hızlı bir gelişme göstermiştir. Preoperatif optimizasyon, cerrahi teknik, intraoperatif anestezi yönetimi, organ prezervasyonu, yoğun bakım ve immünosüpresyon tedavilerindeki gelişmeler ile 1998'de %79 düzeyinde olan karaciğer transplantasyonu sonrası bir yıllık sağkalım 2008'de %90'a yükselmiştir. Karaciğer transplantasyonlu olguların yoğun bakım yönetiminde özellikle hızlı kardiyorespiratuvar stabilizasyon, ağır koagülopatinin düzeltilmesi, mekanik ventilasyondan erken ayırma, uygun sıvı-elektrolit tedavisi, böbrek fonksiyonlarının korunması, greft rejeksiyonun önlenmesi ve enfeksiyon profilaksisi/tedavisi büyük önem taşır. Erken postoperatif dönem çok hassas bir süreç olduğundan yakın monitörizasyon, kardiyorespiratuvar fonksiyonların stabilizasyonu, greft fonksiyonunun sık değerlendirilmesi, komplikasyonların erken tanınması ve ekstrahepatik organ yetersizliklerinin hızlı tedavisi mortalite/morbiditenin azaltılabilmesi için zorunludur. Anahtar Kelimeler: Karaciğer transplantasyonu, postoperatif dönem, yoğun bakım, karaciğer yetersizliği ABSTRACT Critical care management after liver transplantation requires a sophisticated monitoring and multi-disciplinary team work. An experienced team and advanced critical care/hospital facilities are necessary for an ideal critical care treatment today. Critical care management after liver transplantation has shown a rapid development since the introduction of liver transplantation. While one-year survival rate after liver transplantation was 79% in 1998, it raised to 90% in 2008 related to the improvements in preoperative optimization, surgical technique, anesthetic management, organ preservation, critial care and immunosuppressive treatment. Treatment of severe coagulopathy, prompt hemodynamic and respiratory stabilization, early weaning from mechanical ventilation, proper fluid-electrolyte therapy, prevention of graft rejection, protection of renal functions and prophylaxis/treatment of infection are particularly important in critical care management after liver transplantation. As early postoperative period of liver transplantation is a critical phase; close monitoring, stabilization of cardiopulmonary functions, frequent evaluation of graft function, early diagnosis of complications and rapid treatment of extrahepatic organ failure are mandatory in order to reduce mortality/morbidity.

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Section: Postoperatif Nütrisyon Tedavisi Ve Gastrointestinal Sorunlarunclassified

Critical Care Management after Adult Liver Transplantation

Akan¹

2017

tybdd

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“…11 Intravenous potassium chloride may be given as per following schedule 19 KCL infusion / 100 ml IV fluid-3 meq (1. Recommendation's for nutritional management- 20 • Total fluid input including PN, blood products, and medications should generally be limited to between 85 to 95 percent of the maintenance fluid requirement to avoid excessive hydration.…”

Section: Hypoglycemiamentioning

confidence: 99%

“…This is likely due to multiple factors, including the severity of illness at the time of LT, and the possibility that LT was performed in circumstances in which death was inevitable regardless of LT. When living donor LT is considered, the decision also includes consideration of potential risks to the donor 20 . …”

Section: Liver Transplantmentioning

confidence: 99%

Acute Liver Failure : Management Update

Mazumder

Begum

Karim

2017

Bangladesh J Child Health

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“…Z uwagi na brak dostatecznej liczby badań z randomizacją u chorych z poalkoholowym uszkodzeniem wątroby, marskością lub niewydolnością wątroby [60,61], niewydolnością nerek [62,63] oraz z przewlekłą niewydolnością serca i przewlekłą obturacyjną chorobą płuc [64,65] ESPEN nadal nie podaje zaleceń dotyczą-cych dojelitowego lub pozajelitowego stosowania żywienia z glutaminą.…”

Section: Stanowisko Espen Dotyczące Innych Choróbunclassified

Nutritional support with glutamine according to recommendations of the European Society for Clinical Nutrition and Metabolism (ESPEN)

Kędziora¹,

Słotwiński²,

Dąbrowska³

2010

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StreszczenieW stanach stresu metabolicznego (np. urazy, zapalenia, oparzenia, choroby nowotworowe, kacheksja) glutamina wykorzystywana jest jako źródło energii w większych ilościach niż w stanie fizjologicznym i staje się związkiem warunkowo niezbędnym. Dlatego też w takich sytuacjach zalecana jest jej suplementacja. Europejskie Towarzystwo Żywienia Klinicznego i Metabolizmu (ESPEN) od 2005 r. przedstawia zalecenia żywieniowe dotyczące pozajelitowego lub dojelitowego stosowania glutaminy w poszczególnych jednostkach chorobowych i konkretnych sytuacjach klinicznych. Niniejsza praca ma na celu zebranie i uporządkowanie aktualnych zaleceń ESPEN dotyczących suplementacji tego aminokwasu zarówno w żywieniu enteralnym, jak i parenteralnym. AbstractIn conditions of metabolic stress (trauma, burns, cancer, cachexia) glutamine as a source of energy is used more than in the physiological state and becomes a conditionally essential amino acid. Because of this, glutamine should be supplemented in these conditions. The European Society for Clinical Nutrition and Metabolism (ESPEN) since 2005 has presented recommendations of glutamine's use in different diseases and clinical states. This article presents current recommendations of glutamine supplementation in both enteral and parenteral nutrition.

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ESPEN Guidelines on Enteral Nutrition: Liver disease

Cited by 598 publications

References 49 publications

Critical Care Management after Adult Liver Transplantation

Critical Care Management after Adult Liver Transplantation

Acute Liver Failure : Management Update

Nutritional support with glutamine according to recommendations of the European Society for Clinical Nutrition and Metabolism (ESPEN)

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