Despite its benefits, early enteral nutrition (EN) is considered controversial in critically ill patients with severe hemodynamic failure. Objective: To evaluate the tolerance and safety of early EN in a consecutive group of patients receiving venoarterial (VA) extracorporeal membrane oxygenation (ECMO) for severe hemodynamic failure. Materials and Methods: Prospective observational study performed in a cardiac surgical intensive care unit (ICU) during a 1â€year period. All adult patients receiving VA ECMO for severe hemodynamic failure unresponsive to conventional therapies were included. Nutrition support was provided during the study period following the established ICU nutrition protocol. Energy target was 25 kcal/kg, to be reached over 4 days. Nutrition tolerance was defined as the ratio of delivered nutrition to target nutrition, expressed as a percentage. Medical Disposable Enteral Nutrition bag,Enteral Feeding Pump Set ,Pre-Attached Bag Suzhou Xuanweicheng Biotechnology Co., Ltd , https://www.xwc-medical.com
The appearance of yellow discontinuous streaks or spindle circle spots on the external symptoms leaves, with the leaves of the old, these stripes or circle spots gradually become yellow-brown to purple black, and finally into a dry or dead spots. Severe development of the disease is yellowing of the heart, rot, diseased leaves curl or shrinkage. Plants with budding stage, yellow-striped circle spots on the fruit axis or calyx, and black spots and dysplasia of fruits, have no economic value.
Internal Symptoms The pseudo-stem (leaf sheath) is a small water-stained spot that later turns yellow-brown and then darkens to a blood red color. The disease department then rots and rots, and the heart rots and the heart rots. The pseudo-stem shows that the diseased part is stripped, and the cross-section is a circular patch. The rot can sometimes be extended to the rhizome. Intestinal disease symptoms often appear later.
Prevention and control methods (1) Implementation of quarantine system The use of disease-free seedlings for the production of seed buds for tissue culture is obtained from disease-free banana gardens, and is confirmed to be free of disease after serological examination and is produced on a large scale. The false planting of the vascular plantlets in the ward shall have pest control facilities, including the 36-40 mesh insect nets in the nursery greenhouses, and shall be sprayed and killed regularly on the banana plantation and the relevant host crops and weeds near the shed. Planted with sucker seedlings should be sucked from a disease-free banana garden, and do not transport suckers from the ward.
(2) Planting test-tube seedlings in agricultural prevention and treatment wards, using spring planting, using older strong seedlings, and fighting for the seedlings to grow up and resisting in high-temperature and dry weather; Xia Qiuzhi must use sucker seedlings. Do not plant host plants such as melons, tomatoes, peppers, corn, and rapeseeds. Weeding and weeding at the beginning of planting. Seedlings planted in vitro should be strengthened to prevent insects and disease. Insecticides should be sprayed on dry days 15-25 days to kill aphids. Spraying some growth promoters such as potassium dihydrogen phosphate, foliar and other antiviral agents such as plant diseases. Ling plus high fat film, zinc sulfate, etc., in order to improve the disease resistance of plants, especially in hot and dry season. Strengthen fertilizer and water management without applying nitrogen fertilizer. Dig out the diseased plants in time and dig them to dry them. Sick holes replanting seedlings is best to use suction. The re-infested garden should be rotated with rice.
Prevention of banana mosaic heart rot
Banana mosaic heart rot, usually mosaic and heart rot in the same strain, but sometimes only see the mosaic or heart rot.