ESPEN guideline on clinical nutrition in the intensive care unit
- PMID: 30348463
- DOI: 10.1016/j.clnu.2018.08.037
ESPEN guideline on clinical nutrition in the intensive care unit
Abstract
Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document.
Keywords: ESPEN; Enteral; Guidelines; Intensive care; Nutrition; Parenteral.
Copyright © 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd.. All rights reserved.
Comment in
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Nutrition management of obese critically ill patients: More research is urgently needed.Clin Nutr. 2019 Aug;38(4):1957. doi: 10.1016/j.clnu.2019.05.001. Epub 2019 May 7. Clin Nutr. 2019. PMID: 31101440 No abstract available.
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Answer to the letter: Nutrition management of obese critically ill patients: More research is urgently needed.Clin Nutr. 2019 Oct;38(5):2467. doi: 10.1016/j.clnu.2019.07.008. Epub 2019 Jul 30. Clin Nutr. 2019. PMID: 31399263 No abstract available.
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The efficacy and safety of administration of prokinetics improve clinical outcomes in critically ill patients is still quite unclear.Clin Nutr. 2020 Jan;39(1):307-309. doi: 10.1016/j.clnu.2019.11.027. Epub 2019 Nov 22. Clin Nutr. 2020. PMID: 31813697 No abstract available.
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Nutritional management in hospital setting during SARS-CoV-2 pandemic: a real-life experience.Eur J Clin Nutr. 2020 May;74(5):846-847. doi: 10.1038/s41430-020-0625-4. Epub 2020 Apr 6. Eur J Clin Nutr. 2020. PMID: 32253375 Free PMC article. No abstract available.
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