Nutrition and acute respiratory failure

Acute respiratory distress syndrome (ARDS) is characterized by the formation of a protein-rich alveolar edema caused by increased permeability of the alveolocapillary membrane. The key clinical feature is refractory arterial hypoxemia, which in severe cases necessitates the application of extracorpo...

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Bibliographic Details
Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2013-06, Vol.108 (5), p.379
Main Authors: Hecker, M, Felbinger, T W, Mayer, K
Format: Article
Language:ger
Subjects:
Critical Care - methods
Enteral Nutrition - methods
Evidence-Based Medicine - methods
Fat Emulsions, Intravenous - administration & dosage
Fatty Acids, Omega-3 - physiology
Humans
Lung - physiopathology
Nutritional Requirements - physiology
Nutritional Support - methods
Oxygen - blood
Parenteral Nutrition, Total - methods
Respiratory Distress Syndrome, Adult - diagnosis
Respiratory Distress Syndrome, Adult - physiopathology
Respiratory Distress Syndrome, Adult - therapy
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Summary:Acute respiratory distress syndrome (ARDS) is characterized by the formation of a protein-rich alveolar edema caused by increased permeability of the alveolocapillary membrane. The key clinical feature is refractory arterial hypoxemia, which in severe cases necessitates the application of extracorporeal membrane oxygenation. Besides lung-protective ventilation as a confirmed therapeutic option, supportive therapy is an integral part of ARDS management. In this context, modern and individualized nutritional regimens are of special importance; however, their prognostic impact, especially of immunonutrition, for ARDS patients is controversial. In this review, basic features of nutrition in intensive care medicine and ARDS-specific aspects (e.g., immunonutrition) are presented and discussed.
ISSN:2193-6226
DOI:10.1007/s00063-012-0199-6