Meta proteica versus disfunção renal na Unidade
de Terapia Intensiva

Diogo Toledo; Rodrigo Costa Gonçalves; Melina Castro

doi:10.37111/braspenj.2016.31.4.14

Artigo de Revisão

Meta proteica versus disfunção renal na Unidade de Terapia Intensiva

Protein goal and renal dysfunction in the Intensive Care Unit

Diogo Toledo, Rodrigo Costa Gonçalves, Melina Castro

http://dx.doi.org/10.37111/braspenj.2016.31.4.14 BRASPEN Journal, vol.31, n4, p.362-365, 2016

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Resumo

A oferta proteica para o doente crítico deve ser alta. As últimas diretrizes recomendam ofertas entre 1,2 e 2,0 g/kg/dia; todavia, os grandes estudos mostram que esta oferta proteica não é atingida, trazendo prejuízos à evolução dos pacientes. A utilização de uma oferta proteica alta frente a uma disfunção renal instalada também é tema de discussão na condução da terapia nutricional. Este artigo busca discutir os principais pontos dos estudos atuais relacionados ao tema.

Palavras-chave

Terapia Nutricional. Apoio Nutricional. Unidades de Terapia Intensiva. Insuficiência Renal

Abstract

The protein requirement for critical ill patient need to be high. The latest guidelines recommend offers between 1.2 and 2.0 g/kg/day; however, major studies show that this protein goal is not reached, causing damages to patient outcomes. The use of a high protein supply in patients with installed renal dysfunction is also a topic of discussion in the conduct of nutritional therapy. This article discusses the main points of the current studies related to these topics.

Keywords

Nutrition Therapy. Nutritional Support. Intensive Care Units. Renal Insufficiency

Referências

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Submetido em:
07/04/2016

Aceito em:
06/07/2016