[Differential therapy of parenteral and special feeding in intensive medicine]

Abstract

After having overcome the acute danger to life by a directed infusion therapy as well as by medicamentous, physical and operative measures question of the long-term nutrition frequently come fully into the foreground in intensive medicine. For this purpose as modern methods are at our disposal parenteral nutrition with mixtures of amino acids, carbohydrates and fat emulsions, the feeding by a stomach tube with easily decomposable mixtures of proteins, carbohydrates and fat and the feeding by a stomach tube with chemically defined diets. When the adequate form of nutrition is chosen, depends on the indications and contraindications for the use of these nutrient solutions and on the adequate stage of the present basic disease. The optimum nutrition of the intensive therapy patients is an essential prerequisite for the prevention and overcoming of the severe secondary diseases, which frequently develop after emergency situation and destroy the success of the initial therapy.