ISSN:0884-5336    

DOI:10.1177/011542659400900101

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Nutrition is believed to play a key role in the management of chronic and acute renal failure. Considerable evidence suggests that unrestricted protein diets accelerate the progression of chronic renal failure. As a result, recommendations have evolved limiting the quantity and quality of nitrogen intake with the goal of slowing the progression to dialysis dependency. Acute renal failure offers different challenges in view ofits common association with hypermetabolic states. With respect to nitrogen substrate administration, the use of mixed formulations of essential plus nonessential amino acids seems to be as effective as essential amino acids alone.

ISSN:0884-5336    

DOI:10.1177/011542659400900103

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Nutrition is intimately linked to pulmonary function and an understanding of these relationships have therapeutic utility. Malnutrition is known to be associated with impaired mechanical function of the lung in both chronic and acute respiratory insufficiency. Refeeding results in improvement in functional characteristics and may be critical in the weaning of patients from mechanical ventilation. In contrast, overfeeding may result in an increased ventilatory demand resulting in the inability to wean from respiratory support. This article considers the background as well as recommendations for the nutritional care of patients with acute and chronic respiratory failure.

ISSN:0884-5336    

DOI:10.1177/011542659400900111

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

A case is presented of migration of a gastrostomy feeding tube (Foley type) through the pylorus with duodenal obstruction and subsequent retrograde intussusception. Although feeding tube migration is not uncommon, retrograde intussusception of the jejunum into the duodenum is rare. In this case, surgery was required with resection of a segment of necrotic bowel. Recommendations are given for treatment of this unusual complication with emphasis on its avoidance through use of a retaining bar or disc at the tube's skin exit site.

ISSN:0884-5336    

DOI:10.1177/011542659400900118

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

Extracorporeal life support (ECLS) is a type of heart‐lung bypass commonly used to support neonates with life‐threatening respiratory or cardiac failure. These patients are among the most critically ill patients in the neonatal intensive care unit and are at significant nutritional risk. Unfortunately, there is a paucity of literature regarding guidelines for nutrition support of the neonatal ECLS patient. The purpose of this article is to provide an overview of the indications, techniques, and complications of ECLS and to address the approach to nutrition support of these patients. Emphasis will be placed on issues unique to the neonatal ECLS patient.

ISSN:0884-5336    

DOI:10.1177/011542659400900122

出版商:Sage Publications    

年代:1994

数据来源: WILEY

摘要:

The nutrition care of a patient is complicated by the recent proliferation of commercially available specialty products. Rational and objective guidelines are necessary to direct formula selection for use in specific diseases. Consideration of the patient's nutritional status, functioning of major organ systems, and alterations in nutrient metabolism are essential. The diagnosis of a specific disease does not necessitate the use of a specialty product in all instances. Many times modification of a standard formula can result in safe and effective nutrition. Basic nutrition principles should continue to guide the clinician as the definitive answers to the issues surrounding metabolic support in patients with specific disease states become available.

ISSN:0884-5336    

DOI:10.1177/011542659400900128

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900107

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900109

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900111

出版商:Sage Publications    

年代:1994

数据来源: WILEY

ISSN:0884-5336    

DOI:10.1177/088453369400900113

出版商:Sage Publications    

年代:1994

数据来源: WILEY