Ravitsemus aivoverenkiertohäiriön akuutissa vaiheessa
Lisätietoa aiheesta
1.7.2016
- Huono nutritionaalinen status korreloi aivoinfarktipotilaan huonoon ennusteeseen «FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 »1, «Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 »2, «European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008;25:457-507 »3.
- Potilaalle ei saa antaa alkuvaiheessa mitään suun kautta ennen nielemisen asianmukaista arviointia, eikä ravitsemusta yleensä aloiteta ensimmäisen vuorokauden aikana.
- Nielemisen testaus tapahtuu aivohalvausyksikössä «FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 »1, «European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008;25:457-507 »3.
- Nenämahaletkuruokintaa käytetään ensimmäisten vuorokausien jälkeen tarvittaessa «FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 »1, «Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 »2, «European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008;25:457-507 »3
- Mikäli nieleminen ei onnistu turvallisesti ja nenä-mahaletkuruokinnan tarpeen voidaan olettaa olevan vähintään 1 kuukausi, voidaan turvautua PEG-letkuruokintaan «FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 »1, «Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 »2, «Bath PM, Bath FJ, Smithard DG. Interventions for dysphagia in acute stroke. Cochrane Database Syst Rev 2000;:CD000323 »4, «Jauch EC, Saver JL, Adams HP Jr ym. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American St»5.
- PEG-letkuruokinta vähentää hoidon epäonnistumista ja mahasuolikanavan verenvuotoja ja turvaa paremman ravitsemuksen ja korkeamman albumiinikonsentraation verrattuna nenä-mahaletkuruokintaan «Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 »2.
- Mikäli nieleminen ei onnistu turvallisesti ja nenä-mahaletkuruokinnan tarpeen voidaan olettaa olevan vähintään 1 kuukausi, voidaan turvautua PEG-letkuruokintaan «FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 »1, «Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 »2, «Bath PM, Bath FJ, Smithard DG. Interventions for dysphagia in acute stroke. Cochrane Database Syst Rev 2000;:CD000323 »4, «Jauch EC, Saver JL, Adams HP Jr ym. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American St»5.
Kirjallisuutta
- FOOD Trial Collaboration. Poor nutritional status on admission predicts poor outcomes after stroke: observational data from the FOOD trial. Stroke 2003;34:1450-6 «PMID: 12750536»PubMed
- Geeganage C, Beavan J, Ellender S ym. Interventions for dysphagia and nutritional support in acute and subacute stroke. Cochrane Database Syst Rev 2012;10:CD000323 «PMID: 23076886»PubMed
- European Stroke Organisation (ESO) Executive Committee, ESO Writing Committee. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis 2008;25:457-507 «PMID: 18477843»PubMed
- Bath PM, Bath FJ, Smithard DG. Interventions for dysphagia in acute stroke. Cochrane Database Syst Rev 2000;:CD000323 «PMID: 10796343»PubMed
- Jauch EC, Saver JL, Adams HP Jr ym. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013;44:870-947 «PMID: 23370205»PubMed