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Grundlagen Der Ernährungsbehandlung Im Kindesalter by F. W. Ahnefeld, H. Bergmann, C. Burri

Grundlagen Der Ernährungsbehandlung Im Kindesalter

by F. W. Ahnefeld , H. Bergmann , C. Burri
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Book cover type: Paperback
  • ISBN13: 9783540086093
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Springer
  • Publisher Imprint: Springer
  • Publication Date:
  • Pages: 248
  • Original Price: EUR 51.39
  • Language: German
  • Edition: N/A
  • Item Weight: 427 grams
  • BISAC Subject(s): Anesthesiology

Die Erkenntnis, daB Kinder keine kleinen Erwachsenen sind und folglich auch nicht als solche behandelt werden durfen, hat unter anderem dazu geflihrt, daB die Piidiatrie der Notwendigkeit einer parenteralen bzw. enteralen bzw. gemischten Substitution von Fliissigkeit, Mineralien und Niihrstoffen bereits zu einem Zeitpunkt Beachtung geschenkt hat, als entsprechende Erkenntnisse in der Erwachsenenmedizin - aus we1chen Grunden auch immer - noch keine klinisch relevanten Konsequenzen hatten. Die Piidiatrie hat wiederum in den letzten lahren Folgerungen aus der Erkenntnis gezogen, daB selbst Neugeborene keine kleinen Kinder sind und folglich auch nicht als solche behandelt werden durfen. Diesen beiden Statements wurde - gewissermaBen als Ausgangspunkt des Workshop mit dem Thema "Grundlagen der Erniihrungsbehandlung im Kindesalter" - ein drittes Statement hinzugefligt: Kranke Kinder - gleichgultig welcher Altersstufe - sind nicht identisch miteinander und durfen folglich - speziell bezogen auf Infusionstherapie und parenterale Erniihrnng - auch nicht identisch behandelt werden. Ais geradezu klassische Beispiele flir eine derartige Aussage werden z. B. schwerstkranke Kinder mit Enteritiden auf der einen Seite und schwersttraumatisierte bzw. operierte Kinder auf der anderen Seite zitiert. Die Stichhaltigkeit einer derartigen Hypothese muBte jedoch - und hier lag ein Schwerpunkt des Workshop - uberpruft werden, wobei insbesondere der Fragestellung nachzugehen war, ob sich die moglicherweise altersspezifischen Reaktionsweisen beim "konservativ" erkrankten Kind anders auswirken als beim "operativ" erkrankten, ob nicht doch weitgehend identische pathophysiologische Verhaltensmuster erkennbar sind, ob dementsprechend die Therapie in Abhiingigkeit von der zugrundeliegenden Erkrankung und dem Alter nicht doch uniform konzipiert und auch gehandhabt werden kann.

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