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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medalphabet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский алфавит</journal-title><trans-title-group xml:lang="en"><trans-title>Medical alphabet</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2078-5631</issn><issn pub-type="epub">2949-2807</issn><publisher><publisher-name>ООО «Альфмед»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.33667/2078-5631-2023-16-53-72</article-id><article-id custom-type="elpub" pub-id-type="custom">medalphabet-3259</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group></article-categories><title-group><article-title>Метаболический статус пациента в отделении реанимации и выбор методов его оценки (современное состояние вопроса)</article-title><trans-title-group xml:lang="en"><trans-title>Patient’s metabolic status in ICU and choice of its assessment methods</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2843-8672</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сластников</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Slastnikov</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Сластников Евгений Дмитриевич, ординатор кафедры анестезиологии, реаниматологии и интенсивной терапии лечебного факультета</p><p>Москва</p></bio><bio xml:lang="en"><p>Slastnikov Evgeny D., resident of the Dept of Anesthesiology, Resuscitation and Intensive Care, Faculty of Medicine</p><p>Moscow</p></bio><email xlink:type="simple">slast08@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-4535-2563</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Власенко</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Vlasenko</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Власенко Алексей Викторович, д. м.н, проф., Лауреат Премии Правительства  РФ в области науки и техники, зав. кафедрой  анестезиологии и неотложной медицины</p><p>Москва</p></bio><bio xml:lang="en"><p>Vlasenko Alexey V., DM Sci (habil.), prof., head of Dept of Anesthesiology and Emergency Medicine, head of Resuscitation Dept</p><p>Moscow</p></bio><email xlink:type="simple">dr.vlasenko67@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Евдокимов</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Evdokimov</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Евдокимов Евгений Александрович, д. м.н, проф., почетный зав. кафедрой анестезиологии и неотложной медицины</p><p>Москва</p></bio><bio xml:lang="en"><p>Evdokimov Evgeny A., DM Sci (habil.), prof., honorary head of Dept of Anesthesiology and Emergency Medicine</p><p>Moscow</p></bio><email xlink:type="simple">ea_evdokimov@mail.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3852-8877</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Родионов</surname><given-names>Е. П.</given-names></name><name name-style="western" xml:lang="en"><surname>Rodionov</surname><given-names>E. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Родионов Евгений Петрович, к. м.н,, зам. гл. врача по анестезиологии и реанимации, доцент кафедры анестезиологии и неотложной медицины</p><p>Москва</p></bio><bio xml:lang="en"><p>Rodionov Evgeny P., PhD Med, deputy chief physician for Anesthesiology and Resuscitation, associate professor at Dept of Anesthesiology and Emergency Medicine</p><p>Moscow</p></bio><email xlink:type="simple">dr.rodionov@gmail.com</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5477-4242</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Корякин</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Koryakin</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Корякин Альберт Геннадьевич, врач анестезиолог-реаниматолог отделения реанимации</p><p>Москва</p></bio><bio xml:lang="en"><p>Koryakin Albert G., anesthesiologist-resuscitator of Resuscitation Dept</p><p>Moscow</p></bio><email xlink:type="simple">koriakinalbert@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1050-0415</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клюев</surname><given-names>И. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Klyuev</surname><given-names>I. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клюев Иван Сергеевич, врач анестезиолог-реаниматолог отделенияреанимации</p><p>Москва</p></bio><bio xml:lang="en"><p>Klyuev Ivan S., anesthesiologist-resuscitator of Resuscitation Dept.</p><p>Moscow</p></bio><email xlink:type="simple">ivan.kluev11@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7263-0058</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Маковей</surname><given-names>В. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Makoveу</surname><given-names>V. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Маковей Виктория Ивановна, к. м.н, доцент кафедры</p><p>Москва</p></bio><bio xml:lang="en"><p>Makovey Victoria I., PhD Med, associate professor at Dept</p><p>Moscow</p></bio><email xlink:type="simple">nica-m-med@yandex.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-7320-3322</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ерофеев</surname><given-names>В. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Erofeev</surname><given-names>V. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ерофеев Владимир Владимирович, к. м.н, доцент кафедры</p><p>Москва</p></bio><bio xml:lang="en"><p>Erofeev Vladimir V., PhD Med, associate professor at Dept</p><p>Moscow</p></bio><email xlink:type="simple">erofeevvv@rmapo.ru</email><xref ref-type="aff" rid="aff-3"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital n. a. S. P. Botkin</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГБУЗ г. Москвы «Городская клиническая больница имени С. П. Боткина Департамента здравоохранения Москвы»; Кафедра анестезиологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Clinical Hospital n. a. S. P. Botkin; Russian Medical Academy for Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Кафедра анестезиологии и неотложной медицины ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Russian Medical Academy for Continuing Professional Education</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>20</day><month>10</month><year>2023</year></pub-date><volume>0</volume><issue>16</issue><issue-title>Кардиология. Неотложная медицина (2)</issue-title><fpage>53</fpage><lpage>72</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Сластников Е.Д., Власенко А.В., Евдокимов Е.А., Родионов Е.П., Корякин А.Г., Клюев И.С., Маковей В.И., Ерофеев В.В., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Сластников Е.Д., Власенко А.В., Евдокимов Е.А., Родионов Е.П., Корякин А.Г., Клюев И.С., Маковей В.И., Ерофеев В.В.</copyright-holder><copyright-holder xml:lang="en">Slastnikov E.D., Vlasenko A.V., Evdokimov E.A., Rodionov E.P., Koryakin A.G., Klyuev I.S., Makoveу V.I., Erofeev V.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-alphabet.com/jour/article/view/3259">https://www.med-alphabet.com/jour/article/view/3259</self-uri><abstract><p>Адекватное нутритивное обеспечение пациента в критическом состоянии было и остается одной из основных, сложных и до конца не решенных проблем современной реаниматологии, которая, к сожалению, часто остается без должного внимания. В повседневной практике для адекватной коррекции нутритивной недостаточности врач-реаниматолог должен прежде всего правильно оценить трофологический статус пациента. В настоящее время существует большой выбор нутриентов и разных методов оценки метаболического статуса. В работе представлены критический анализ существующих методов оценки нутритивного статуса и алгоритмы персонифицированного выбора каждого из них в конкретной клинической ситуации у пациентов в критическом состоянии.</p></abstract><trans-abstract xml:lang="en"><p>Adequate nutritional support for a critically ill patient has been and remains one of the main, complex and not fully resolved problems of modern resuscitation, which, unfortunately, often remains without due attention. In everyday practice, in order to adequately correct nutritional deficiency, the resuscitator must, first of all, correctly assess the trophological status of the patient. Currently, there is a large selection of nutrients and different methods for assessing metabolic status. The paper presents a critical analysis of existing methods for assessing the nutritional status and algorithms for the personalized choice of each of them in a specific clinical situation in critically ill patients.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метаболический статус</kwd><kwd>трофический статус</kwd><kwd>нутритивная недостаточность</kwd><kwd>нутритивная поддержка</kwd><kwd>методы оценки нутритивного статуса</kwd><kwd>метаболические потребности</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metabolic status</kwd><kwd>trophic status</kwd><kwd>nutritional deficiency</kwd><kwd>nutritional support</kwd><kwd>nutritional status assessment methods</kwd><kwd>metabolic needs</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Бояринцев В. В., Евсеев М. А. 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