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Nutrición Hospitalaria

On-line version ISSN 1699-5198Print version ISSN 0212-1611

Nutr. Hosp. vol.31 n.6 Madrid Jun. 2015

http://dx.doi.org/10.3305/nh.2015.31.6.8661 

REVISIÓN

 

Nutritional implications for the patient undergoing extracorporeal membrane oxygenation

Aspectos nutricionales del paciente sometido a ecmo (extracorporeal membrane oxygenation)

 

 

María Magdalena Farías1, Cristina Olivos1 and Rodrigo Díaz2

1Department of Nutrition and 2Anesthesiology. Clinica Las Condes. Lo Fontecilla 441. Las Condes (Santiago), Chile.

 

 


ABSTRACT

Extracorporeal membrane oxygenation (ECMO) for cardiovascular collapse or catastrophic respiratory failure in the critically ill patient imposes a multidisciplinary approach. Nutritional support is one of the issues that must be faced, as this population presents a state of increased metabolic activity, elevated catabolism of protein and rapid accumulating energy deficiency. Provision of adequate nutritional therapy is hard to achieve due to different factors. This article provides a brief overview of the current literature regarding nutritional support during ECMO in adult patients, as no current guidelines address this issue.

Key words: Extracorporeal membrane life support. ECMO. Nutrition therapy. Nutritional support.


RESUMEN

La oxigenación por membrana extracorpórea (OMEC) en casos de colapso cardiovascular o falla respiratoria catastrófica en pacientes críticos impone un planteamiento multidisciplinar. El soporte nutricional es uno de los problemas a afrontar, ya que esta población presenta un estado de actividad metabólica aumentada, un elevado catabolismo proteico, y una deficiencia de energía de rápida acumulación. Es difícil conseguir una provisión de terapia nutricional adecuada debido a distintos factores. Este artículo ofrece una breve presentación de la bibliografía actual relativa al soporte nutricional durante la OMEC en pacientes adultos, ya que actualmente no contamos con directrices que aborden este tema.

Palabras clave: Soporte vital con membrana extracorpórea. OMEC. Terapia nutricional. Soporte nutricional.


 

 

http://scielo.isciii.es/pdf/nh/v31n6/02revision01.pdf

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