Incorporating ultrasonography to the nutritional assessment process in intensive care settings to improve the prescription of enteral and parenteral nutrition: Benefits, practicality, and challenges.
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引用次数: 0
Abstract
The validity of the traditional nutritional assessment tools in intensive care settings might be compromised when the patient has conditions such as oedema and inflammation. Ultrasound (US) is considered a non-invasive, bedside tool that can be utilized to assess changes in muscle mass. Hence, US could guide healthcare practitioners in identifying the varying degrees of malnutrition and adjusting the nutritional prescription accordingly. This review discusses the currently available data regarding the feasibility and practicality of using US measurements in intensive care settings. Overall, the data suggest that using US as part of the standard anthropometric assessment for critically ill patients is a promising tool to track variations in muscle mass. This has the potential to enhance nutritional prescription and tailor the provision of protein and energy to critically ill patients based on their lean body mass measurements. Therefore, it is recommended to train dietitians on utilizing US for body composition measurements.
在重症监护环境中,当患者出现水肿和炎症等情况时,传统营养评估工具的有效性可能会受到影响。超声波(US)被认为是一种无创床边工具,可用于评估肌肉质量的变化。因此,超声波可指导医护人员识别不同程度的营养不良,并相应地调整营养处方。本综述讨论了有关在重症监护环境中使用 US 测量的可行性和实用性的现有数据。总体而言,数据表明,将 US 作为重症患者标准人体测量评估的一部分,是跟踪肌肉质量变化的一种很有前途的工具。这有可能加强营养处方,并根据重症患者的瘦体重测量结果为其量身定制蛋白质和能量的供应。因此,建议对营养师进行利用 US 测量身体成分的培训。
期刊介绍:
The Saudi Medical Journal is a monthly peer-reviewed medical journal. It is an open access journal, with content released under a Creative Commons attribution-noncommercial license.
The journal publishes original research articles, review articles, Systematic Reviews, Case Reports, Brief Communication, Brief Report, Clinical Note, Clinical Image, Editorials, Book Reviews, Correspondence, and Student Corner.