Consenso sobre o uso de proteína em pacientes críticos – ACNC

Autores

  • Diana Trejos- Gallego Hospital Santa Sofía de Caldas
  • Fernando Pereira Peternina Clínica Las Américas AUNA
  • Angélica Pérez Cano Fundación Universitaria de Ciencias de la Salud image/svg+xml
  • Janeth Barbosa Barbosa Fundación AUNA
  • Juan Bernardo Ochoa Gautier Hunterdon Medical Center
  • Dan Waitzberg Instituto Ganep
  • Bladimir Gil Valencia Clínica las Américas AUNA
  • Erika Aguirre Marulanda Cosmitet
  • Mario Castillo Fundación Cardiovascular de Colombia
  • Camilo Pizarro Gomez Fundación Cardiovascular de Colombia
  • Nestor David Caicedo Buitrago Hospital Santa Sofia
  • Lina López Clínica Universitaria Colombia
  • Mauricio Chona Clínica Universitaria Colombia
  • Ninfa Cristina Correa Salazar Hospital Santa Sofía de Caldas
  • Luisa Fernanda Torres Nuñez Clínica Imbanaco
  • Martha Elena Muñoz Peláez Hospital General de Medellín
  • Claudia Milena Ardila Melendez Hospital San Juan de Dios
  • Carolina Pinzón Ospina Clínica Colombia
  • Diana Paola Córdoba Rodriguez Pontificia Universidad Javeriana
  • Ana Cristina Pardo Coronado Clínica Universitaria Colombia
  • Vera Cecilia Nuñez Ricardo Hospital Universitario Fundación Santa Fe

DOI:

https://doi.org/10.35454/rncm.v6n2.494

Palavras-chave:

Cuidados intensivos, tratamento intensivo, proteína, dosagem de proteína, tipo de proteína

Resumo

O paciente crítico apresenta perda importante de massa muscular, observando-se frequentemente sarcopenia nesses pacientes. Sua presença aumenta os desfechos adversos, internações hospitalares, aumento do risco de infecções, aumento do tempo de assistência ventilatória mecânica, maior incapacidade na alta hospitalar, menor possibilidade de retorno à vida normal dos pacientes, aumento dos custos de saúde e maior mortalidade. 

Objetivo: Indicar o uso oportuno e adequado da proteína no paciente crítico. 

Métodos: a Associação Colombiana de Nutrição Clínica (ACNC) e a Associação Colombiana de Medicina Crítica e Terapia Intensiva (AMCI), utilizando uma metodologia de consenso, fizeram recomendações com um grupo de especialistas. 

Resultados: 46 recomendações foram aprovadas com consenso superior a 80%. 

Conclusões: A intervenção proteica precoce e progressiva ideal em pacientes críticos é importante para obter os melhores resultados clínicos, reduzir complicações e impactar nos custos hospitalares. 

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Biografia do Autor

Fernando Pereira Peternina, Clínica Las Américas AUNA

Médico cirujano e Intensivista

Angélica Pérez Cano, Fundación Universitaria de Ciencias de la Salud

Nutricionista

Janeth Barbosa Barbosa, Fundación AUNA

Nutricionista

Juan Bernardo Ochoa Gautier, Hunterdon Medical Center

Médico intensivista

Dan Waitzberg, Instituto Ganep

Médico Especialista

Bladimir Gil Valencia, Clínica las Américas AUNA

Medico intensivista

Erika Aguirre Marulanda, Cosmitet

Nutricionista

Mario Castillo, Fundación Cardiovascular de Colombia

Médico intensivista

Camilo Pizarro Gomez, Fundación Cardiovascular de Colombia

Médico intensivista

Nestor David Caicedo Buitrago, Hospital Santa Sofia

Médico intensivista

Lina López, Clínica Universitaria Colombia

Enfermera

Mauricio Chona, Clínica Universitaria Colombia

Médico cirujano

Ninfa Cristina Correa Salazar, Hospital Santa Sofía de Caldas

Nutricionista

Luisa Fernanda Torres Nuñez, Clínica Imbanaco

Nutricionista

Martha Elena Muñoz Peláez, Hospital General de Medellín

Nutricionista

Claudia Milena Ardila Melendez, Hospital San Juan de Dios

Nutricionista

Carolina Pinzón Ospina, Clínica Colombia

Nutricionista

Diana Paola Córdoba Rodriguez, Pontificia Universidad Javeriana

Nutricionista

Ana Cristina Pardo Coronado, Clínica Universitaria Colombia

Fisioterapeuta

Vera Cecilia Nuñez Ricardo, Hospital Universitario Fundación Santa Fe

Enfermera

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Publicado

2023-05-24

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