Información del artículo
El objeto de esta revisión sistemática es valorar la calidad de la evidencia científica utilizada en las guías de práctica clínica, recomendaciones y consensos sobre la inmunonutrición. Estudiamos los efectos del uso de glutamina, ácidos grasos omega-3 y arginina tanto por vía gastrointestinal como parenteral. Finalizamos con una evaluación concienzuda de los trabajos clínicos más valorados en pacientes quirúrgicos, traumatológicos, quemados e ingresados en la UCI mixta. Presentamos tablas sobre la composición de los productos de nutrición enteral, así como resúmenes de los estudios clínicos llevados a cabo.
Palabras clave:
Inmunonutrición
Nutrición enteral
Paciente crítico
Glutamina
Arginina
Ácidos grasos omega-3
The aim of this systematic review was to assess the quality of the scientific evidence in clinical practice guidelines, recommendations and consensus statements on immunonutrition. We studied the effects of glutamine, omega-3 fatty acids and arginine when nutrients are delivered via the gastrointestinal tract rather than parenterally. Finally, we evaluated the most valuable clinical studies in surgical, trauma, burn and multidisciplinary ICU populations. Tables showing the composition of enteral nutrition products as well as summaries of clinical studies are presented.
Key words:
Immunonutrition
Enteral nutrition
Critical patients
Glutamine
Arginine
Omega-3 fatty acids
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