关键词: adult international consensus micronutrients parenteral trace elements vitamins

Mesh : Administration, Intravenous Adult Burns / therapy Consensus Critical Illness / therapy History, 20th Century History, 21st Century Humans International Cooperation Micronutrients / administration & dosage history Nutritional Requirements Nutritional Status Parenteral Nutrition Practice Guidelines as Topic Trace Elements / administration & dosage Vitamins / administration & dosage

来  源:   DOI:10.1002/jpen.1525   PDF(Sci-hub)

Abstract:
Micronutrients, an umbrella term used to collectively describe vitamins and trace elements, are essential components of nutrition. Those requiring alternative forms of nutrition support are dependent on the prescribed nutrition regimen for their micronutrient provision. The purpose of this paper is to assist clinicians to bridge the gap between the available guidelines\' recommendations and their practical application in the provision of micronutrients via the parenteral route to adult patients.
Based on the available evidenced-based literature and existing guidelines, a panel of multidisciplinary healthcare professionals with significant experience in the provision of parenteral nutrition (PN) and intravenous micronutrients developed this international consensus paper.
The paper addresses 14 clinically relevant questions regarding the importance and use of micronutrients in various clinical conditions. Practical orientation on how micronutrients should be prescribed, administered, and monitored is provided.
Micronutrients are a critical component to nutrition provision and PN provided without them pose a considerable risk to nutrition status. Obstacles to their daily provision-including voluntary omission, partial provision, and supply issues-must be overcome to allow safe and responsible nutrition practice.
摘要:
微量营养素,一个总称,用来统称维生素和微量元素,是营养的重要组成部分。那些需要替代形式的营养支持的人依赖于规定的营养方案来提供微量营养素。本文的目的是帮助临床医生弥合现有指南建议与通过肠胃外途径向成年患者提供微量营养素的实际应用之间的差距。
根据现有的基于证据的文献和现有指南,在提供肠外营养(PN)和静脉微量营养素方面具有丰富经验的多学科医疗保健专业人员小组制定了这份国际共识文件.
本文讨论了14个临床相关问题,涉及微量营养素在各种临床条件下的重要性和使用。关于如何规定微量营养素的实用方向,管理,并提供监控。
微量营养素是营养供应的关键组成部分,如果没有它们,提供的PN会对营养状况造成相当大的风险。日常供应的障碍-包括自愿遗漏,部分规定,和供应问题-必须克服,以允许安全和负责任的营养实践。
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