Nutritional Support for Patients in the Intensive Care Unit: the Old Rules and New Opportunities
The problem of adequate and complete clinical nutrition of patients of the intensive care units remains in the focus of many clinicians. A complex of modern enteral and parenteral nutrition enables to prevent the occurrence of complications and adverse reactions in these patients. Total calories and proportions between different food elements are essential to the organizing nutritional support and must meet the recommendations of the European and American Society for Parenteral and Enteral Nutrition (ESPEN, ASPEN). An interesting and promising combination is the possibility of combined use of a mixture of amino acids (Aminol) and preparations with alternative energy sources (Gluxyl). We need more experimental and clinical studies of the combination of these substances in order to finally clarify the role and place of these drugs in the programs of parenteral nutrition of patients in intensive care units.