Résumé
Les patients admis en réanimation sont particulièrement fragiles et sensibles à la fois aux effets de la dénutrition et de la suralimentation qui provoquent infections, ventilation prolongée et surmortalité. La définition précise de besoins énergétiques devient d’autant plus importante: la calorimétrie indirecte reste à ce jour le seul outil fiable, bien qu’elle ne soit pas applicable à tout patient.
Abstract
Critically ill patients are particularly fragile and sensitive both to under- and overfeeding, which cause infections, prolonged ventilation and overmortality. The exact definition of energy requirements is therefore extremely important; indirect calorimetry remains the only reliable tool in the clinical setting; however, it is not always applicable.
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Cet article correspond à la conférence faite par l’auteur au congrès de la SRLF 2012 dans la session: Assistance nutritionnelle en réanimation.
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Berger, M.M. Impact de la nutrition sur la morbimortalité en réanimation. Réanimation 21 (Suppl 2), 406–411 (2012). https://doi.org/10.1007/s13546-011-0344-x
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DOI: https://doi.org/10.1007/s13546-011-0344-x