How to prescribe parenteral nutrition the safest way:case by case or using machine learning?  

作　　者：Pierre Singer 

机构地区：[1]Department of General Intensive Care and Institute for Nutrition Research,Rabin Medical Center,Beilinson Hospital,Sackler School of Medicine,Tel Aviv University,49100 Israel

出　　处：《Journal of Intensive Medicine》2022年第2期67-68,共2页重症医学（英文）

摘　　要：In the dilemma of when to initiate feeding in the critically ill,how much to prescribe,and which feeding route to use,2 reviews in recent issues of Journal of Intensive Medicine have addressed very important points:is it safe to underfeed our patients,and is it safe to use parenteral nutrition(PN)?It is unanimously recognized that early enteral feeding is the preferred route,[1,2]but the use of this medical nutritional therapy is limited by many obstacles.First,interruptions related to procedures or to transportation to surgery or diagnostic examinations have been reported,and a reduction in the time of administration as well as the amounts of energy and protein administered may result.[3]Second,symptoms of enteral nutrition intolerance are frequent and include large gastric residual volume,an inability to reach the energy/protein target on day 3,severe diarrhea or constipation,and elevated intra-abdominal pressure.

关 键 词：PARENTERAL ELEVATED DIARRHEA 

分 类 号：R45[医药卫生—治疗学]