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
-
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.
-
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.
-
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.
-
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.
Similar articles
-
ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit.Clin Nutr. 2023 Sep;42(9):1671-1689. doi: 10.1016/j.clnu.2023.07.011. Epub 2023 Jul 15. Clin Nutr. 2023. PMID: 37517372
-
Seven Deadly Sins of Nutrition Therapy in Critically Ill Patients.Nutr Clin Pract. 2020 Apr;35(2):205-210. doi: 10.1002/ncp.10430. Epub 2019 Oct 22. Nutr Clin Pract. 2020. PMID: 31642115 Review.
-
[Guidelines for specialized nutritional and metabolic support in the critically-ill patient. Update. Consensus of the Spanish Society of Intensive Care Medicine and Coronary Units-Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE): patient with sepsis].Med Intensiva. 2011 Nov;35 Suppl 1:72-6. doi: 10.1016/S0210-5691(11)70015-8. Med Intensiva. 2011. PMID: 22309758 Spanish.
-
Clinical Nutrition of Critically Ill Patients in the Context of the Latest ESPEN Guidelines.Medicina (Kaunas). 2019 Dec 2;55(12):770. doi: 10.3390/medicina55120770. Medicina (Kaunas). 2019. PMID: 31810303 Free PMC article.
-
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Pediatric Critically Ill Patient: Society of Critical Care Medicine and American Society for Parenteral and Enteral Nutrition.JPEN J Parenter Enteral Nutr. 2017 Jul;41(5):706-742. doi: 10.1177/0148607117711387. Epub 2017 Jun 2. JPEN J Parenter Enteral Nutr. 2017. PMID: 28686844 Review.
Cited by
-
Practical guidance for the use of indirect calorimetry during COVID 19 pandemic.Clin Nutr Exp. 2020 Oct;33:18-23. doi: 10.1016/j.yclnex.2020.07.002. Epub 2020 Jul 25. Clin Nutr Exp. 2020. PMID: 32835085 Free PMC article.
-
[A critical carol : Being an essay on anemia, suffocation, starvation, and other forms of intensive care, after the manner of Dickens].Anaesthesist. 2020 Dec;69(12):890-908. doi: 10.1007/s00101-020-00835-1. Anaesthesist. 2020. PMID: 33048223 Free PMC article. Review. German.
-
Intensive care unit-acquired weakness: A review from molecular mechanisms to its impact in COVID-2019.Eur J Transl Myol. 2022 Aug 26;32(3):10511. doi: 10.4081/ejtm.2022.10511. Eur J Transl Myol. 2022. PMID: 36036350 Free PMC article.
-
The kidney: the critical organ system for guiding nutrition therapy in the ICU-patient?Crit Care. 2024 Aug 7;28(1):266. doi: 10.1186/s13054-024-05052-5. Crit Care. 2024. PMID: 39113139 Free PMC article.
-
Nutrition delivery after emergency laparotomy in surgical ward: a retrospective cohort study.Eur J Trauma Emerg Surg. 2022 Feb;48(1):113-120. doi: 10.1007/s00068-021-01659-3. Epub 2021 Apr 2. Eur J Trauma Emerg Surg. 2022. PMID: 33797561 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical