Effects of glutamine supplementation on critically ill patients: Focus on efficacy and safety. An overview of systematic reviews

Nutrition ◽  
2020 ◽  
Vol 78 ◽  
pp. 110960
Author(s):  
Aikaterini Apostolopoulou ◽  
Anna-Bettina Haidich ◽  
Konstantinia Kofina ◽  
William Manzanares ◽  
Emmanouil Bouras ◽  
...  
Keyword(s):  
Critically Ill ◽  
Systematic Reviews ◽  
Critically Ill Patients ◽  
Glutamine Supplementation ◽  
Efficacy And Safety ◽  
Overview Of Systematic Reviews

scholarly journals Caracterização dos casos de COVID-19 em pacientes críticos: revisão de escopo/ Characterization of COVID-19 cases in critically ill patients: scoping review

2021 ◽  
Vol 20 ◽  
Author(s):  
Thatiane Monick De Souza Costa ◽  
Kauanny Vitoria Gurgel dos Santos ◽  
Eloysa Dos Santos Oliveira ◽  
Bruna Vilar Soares da Silva ◽  
Evelin Beatriz Bezerra de Melo ◽  
...  
Keyword(s):  
Critically Ill ◽  
Systematic Reviews ◽  
Scoping Review ◽  
Critically Ill Patients ◽  
Scoping Reviews ◽  
Terapia Intensiva ◽  
Population Concept

Introdução: A principal causa de mortalidade pelo novo coronavírus é a insuficiência respiratória. Assim, os cuidados intensivos devem ser prontamente prestados ao paciente crítico. Objetivo: Explorar as evidências acerca dos achados clínicos, tratamento e desfecho de pacientes infectados pelo Sars-CoV-2 internados em Unidades de Terapia Intensiva. Método: Revisão de escopo, realizada em abril de 2021, em oito fontes de dados nacionais e internacionais, conforme orientações do Instituto Joanna Briggs, seguindo o checklist Preferred Reporting Items for Systematic reviews and Meta-Analysesextension for Scoping Reviews, sem restrição de idioma ou temporal. Adotou-se a estratégia Population, Concept and Contextpara a elaboração da questão de pesquisa. Resultados: Incluíram-se 15 artigos científicos, com predominância de publicações na China, Estados Unidos da América e Canadá. Dos estudos, 80% foram com adultos e idosos em Unidade de Terapia Intensiva. Os principais achados clínicos foram febre, tosse, Síndrome do Desconforto Respiratório Agudo e lesão renal, tratamento com ventilação mecânica invasiva e não invasiva, oxigenoterapia de alto fluxo e corticoesteroides. Como principal desfecho, o óbito. Conclusão: A maioria dos pacientes apresentou febre, tosse e Síndrome do Desconforto Respiratório Agudo, recebendo cuidados como ventilação mecânica, oxigenoterapia de alto fluxo e corticoesteroides, com alto índice de óbitos.

scholarly journals Efficacy and safety of acupuncture in children: an overview of systematic reviews

2015 ◽  
Vol 78 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Chunsong Yang ◽  
Zilong Hao ◽  
Ling-Li Zhang ◽  
Qin Guo
Keyword(s):  
Systematic Reviews ◽  
Efficacy And Safety ◽  
Overview Of Systematic Reviews

scholarly journals Fluid Removal With Ultrasound Guided Protocol Improves the Efficacy and Safety of Dehydration in Post-Resuscitated Critically Ill Patients

Shock ◽  
2018 ◽  
Vol 50 (4) ◽  
pp. 401-407 ◽  
Author(s):  
Luhao Wang ◽  
Chunfang Qiu ◽  
Xiangdong Guan ◽  
Minying Chen ◽  
Juan Chen ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Fluid Removal

Parenteral nutrition in the ICU

2016 ◽  
Author(s):  
Jonathan Cohen ◽  
Shaul Lev
Keyword(s):  
Animal Models ◽  
Enteral Nutrition ◽  
Parenteral Nutrition ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Nutrition Support ◽  
Glutamine Supplementation ◽  
Artificial Nutrition ◽  
Omega 3 ◽  
Aspen Guidelines

Parenteral nutrition (PN) is a technique of artificial nutrition support, which consists of the intravenous administration of macronutrients, micronutrients, and water. PN has become integrated into intensive care unit (ICU) patient management with the aim of preventing energy deficits and preserving lean body mass. The addition of PN to enteral nutrition is known as supplemental PN. Parenteral feeding should be considered whenever enteral nutritional support is contraindicated, or when enteral nutrition alone is unable to meet energy and nutrient requirements. International guidelines differ considerably regarding the indications for PN. Thus, the ESPEN guidelines recommend initiating PN in critically-ill patients who do not meet caloric goals within 2–3 days of commencing EN, while the Canadian guidelines recommend PN only after extensive attempts to feed with EN have failed. The ASPEN guidelines advocate administering PN after 8 days of attempting EN unsuccessfully. Several studies have demonstrated that parenteral glutamine supplementation may improve outcome, and the ESPEN guidelines give a grade A recommendation to the use of glutamine in critically-ill patients who receive PN. Studies on IV omega-3 fatty acids have yielded promising results in animal models of acute respiratory distress syndrome and proved superior to solutions with omega -6 compositions. The discrepancy between animal models and clinical practice could be related to different time frames.

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