在过去的十年里，在危重病患者中使用超生理剂量的微量营养素(也称为代谢复苏)已获得极大关注.基于临床前和观察人类数据，许多随机对照试验测试了多种微量营养素对危重病患者各种结局的影响.在2022年美国肠外和肠内营养学会会前课程上，三位世界知名的演讲者就(1)微量营养素的总体作用和，具体来说,（2）危重症患者的硒和维生素C和（3）维生素D和锌。这里,介绍了会后问答期的案例介绍和讨论。这次会议的主持人是JosePimiento,MD,演讲者和小组成员是ChristianStoppe，MD,托德·赖斯,MD,还有DarenHeyland,MD.
Over the past decade, the use of supraphysiologic doses of micronutrients (also called metabolic resuscitation) in critically ill patients has gained significant attention. Building upon preclinical and observational human data, numerous randomized controlled trials have tested the impact of multiple micronutrients on various outcomes in critically ill patients. At the 2022 American Society for Parenteral and Enteral Nutrition Preconference Course, three world-renowned speakers delivered talks on the (1) overall role of micronutrients and, specifically, (2) selenium and vitamin C and (3) vitamin D and zinc in critically ill patients. Here, the
case presentation and discussion from the postsession question and answer period are presented. The moderator for this session was Jose Pimiento, MD, and the speakers and panelists were Christian Stoppe, MD, Todd Rice, MD, and Daren Heyland, MD.
