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Chinese Journal of Critical Care & Intensive Care Medicine(Electronic Edition) ›› 2018, Vol. 04 ›› Issue (01): 9-13. doi: 10.3877/cma.j.issn.2096-1537.2018.01.003

Special Issue: Critical care medicine

• Expert Forum • Previous Articles     Next Articles

Approach to optimal nutrition support in patients with acute kidney injury on renal replacement therapy

Yuan Xu1,()   

  1. 1. Department of Critical Care Medicine, Beijing Tsinghua Changgung Hospital, Beijing 102218, China
  • Received:2017-01-12 Online:2018-02-01 Published:2018-02-01
  • Contact: Yuan Xu
  • About author:
    Corresponding author: Xu Yuan, Email:

Abstract:

Protein-energy wasting (PEW) has frequently been reported in patients with acute kidney injury (AKI) and renal replacement therapy, which is one major cause of further worsen renal function and increased mortality. Early approprite nutrition support is helpful to improve metabolic and nutritional status, recover renal functional and reduce mortality. High heterogeneity among patients with AKI and CRRT duration leads to challenges to appropriate nutritional supplements. Understanding the characteristic of nutrition and metabolism,individualized and dynamic assessment of AKI patients and avoiding underfeeding and overfeeding are important strategies to appropriate nutritional treatment.

Key words: Acute kidney injury, Renal replacement therapy, Nutrition support, Critical illness

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