Laborchemisches und kalorimetrisches Monitoring der medizinischen Ernährungstherapie auf der Intensiv- und Intermediate Care Station
Gunnar Elke, Wolfgang H. Hartl, M. Adolph, Matthias Angstwurm, Frank M. Brunkhorst, Andreas Edel, Geraldine de Heer, Thomas W. Felbinger, Christiane Goeters, Aileen Hill, K. Georg Kreymann, Konstantin Mayer, Johann Ockenga, Sirak Petros, Andreas Rümelin, Stefan J. Schaller, Andrea Schneider, Christian Stoppe, Arved Weimann
Abstract
This second position paper of the Section Metabolism and Nutrition of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) provides recommendations on the laboratory monitoring of macro- and micronutrient intake as well as the use of indirect calorimetry in the context of medical nutrition therapy of critically ill adult patients. In addition, recommendations are given for disease-related or individual (level determination) substitution and (high-dose) pharmacotherapy of vitamins and trace elements.