Long term mechanical ventilation and nutrition长期的机械通气和营养.pdfVIP

ARTICLE IN PRESS Respiratory Medicine (2004) 98, 413–420 Long-term mechanical ventilation and nutrition Nicolino Ambrosinoa,*, Enrico Clinib aPulmonary Division, Cardio-Thoracic Department, University Hospital, Via Paradisa 2, Cisanello, 56100 Pisa, Italy bFondazione Villa Pineta and University of Modena-Reggio Emilia, Department of Pulmonary Rehabilitation, Pavullo (MO), Italy Received 1 October 2003; accepted 24 November 2003 KEYWORDS Summary Mechanical ventilation (MV) in chronic situations is commonly used, either Chronic respiratory delivered invasively or by means of non-invasive interfaces, to control hypoventila- insufficiency; tion in patients with chest wall, neuromuscular or obstructive lung diseases (either Home ventilation; in adulthood or childhood). The global prevalence of ventilator-assisted individuals (VAI) in Europe ranges from 2 to 30 per 100 000 population according to different Food intake; countries. Swallowing Nutrition is a common problem to face with in patients with chronic respiratory diseases: nonetheless, it is a key component in the long-term management of underweight COPD patients whose muscular disfunction may rapidly turn to peripheral muscle waste. Since long-term mechanical ventilation (LTMV) is usually prescribed in end-stage respiratory diseases with poor nutritional status, nutrition and dietary intake related problems need to be carefully assessed and corrected in