Monitoring nutrition in the ICU
Monitoring nutrition in the ICU
Background & aims
This position paper summarizes theoretical and practical aspects of the monitoring of artificial nutrition and metabolism in critically ill patients, thereby completing ESPEN guidelines on intensive care unit (ICU) nutrition.
Methods
Available literature and personal clinical experience on monitoring of nutrition and metabolism was systematically reviewed by the ESPEN group for ICU nutrition guidelines.
Results
We did not identify any studies comparing outcomes with monitoring versus not monitoring nutrition therapy. The potential for abnormal values to be associated with harm was clearly recognized. The necessity to create locally adapted standard operating procedures (SOPs) for follow up of enteral and parenteral nutrition is emphasised. Clinical observations, laboratory parameters (including blood glucose, electrolytes, triglycerides, liver tests), and monitoring of energy expenditure and body composition are addressed, focusing on prevention, and early detection of nutrition-related complications.
Conclusion
Understanding and defining risks and developing local SOPs are critical to reduce specific risks.
584-593
Berger, Mette M
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Reintam-Blaser, Annika
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Calder, Philip
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Casaer, Michael
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Hiesmayr, Michael J.
bda7378a-91ee-41d5-845c-eb98ff04d4be
Mayer, Konstantin
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Montejo, Juan Carlos
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Pichard, Claude
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Preiser, Jean-Charles
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van Zanten, Arthur R.H.
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Bischoff, Stephan C.
a89f350c-381c-44b7-8d96-949c0a1f10b0
Singer, Pierre
52f91f8c-9be1-4e09-afab-62f5b21f0642
1 April 2019
Berger, Mette M
97c41f32-3211-4212-951f-2a13eb15bceb
Reintam-Blaser, Annika
0e816681-d9ff-4300-8354-9c26ffbdfdca
Calder, Philip
1797e54f-378e-4dcb-80a4-3e30018f07a6
Casaer, Michael
23fcefeb-1114-4c37-87c4-b49a7fdf9f32
Hiesmayr, Michael J.
bda7378a-91ee-41d5-845c-eb98ff04d4be
Mayer, Konstantin
e1f6e4ef-51df-4cbd-8316-47065303bf93
Montejo, Juan Carlos
d1966cae-68a1-4c31-a02a-924301501fc0
Pichard, Claude
9bb214eb-b5ea-41a4-8d99-342423eaa11a
Preiser, Jean-Charles
0f56a3fd-0c57-4130-8930-d1d6616fe071
van Zanten, Arthur R.H.
5a015455-4e2f-4b72-bdc8-1e040f3394a2
Bischoff, Stephan C.
a89f350c-381c-44b7-8d96-949c0a1f10b0
Singer, Pierre
52f91f8c-9be1-4e09-afab-62f5b21f0642
Berger, Mette M, Reintam-Blaser, Annika, Calder, Philip, Casaer, Michael, Hiesmayr, Michael J., Mayer, Konstantin, Montejo, Juan Carlos, Pichard, Claude, Preiser, Jean-Charles, van Zanten, Arthur R.H., Bischoff, Stephan C. and Singer, Pierre
(2019)
Monitoring nutrition in the ICU.
Clinical Nutrition, 38 (2), .
(doi:10.1016/j.clnu.2018.07.009).
Abstract
Background & aims
This position paper summarizes theoretical and practical aspects of the monitoring of artificial nutrition and metabolism in critically ill patients, thereby completing ESPEN guidelines on intensive care unit (ICU) nutrition.
Methods
Available literature and personal clinical experience on monitoring of nutrition and metabolism was systematically reviewed by the ESPEN group for ICU nutrition guidelines.
Results
We did not identify any studies comparing outcomes with monitoring versus not monitoring nutrition therapy. The potential for abnormal values to be associated with harm was clearly recognized. The necessity to create locally adapted standard operating procedures (SOPs) for follow up of enteral and parenteral nutrition is emphasised. Clinical observations, laboratory parameters (including blood glucose, electrolytes, triglycerides, liver tests), and monitoring of energy expenditure and body composition are addressed, focusing on prevention, and early detection of nutrition-related complications.
Conclusion
Understanding and defining risks and developing local SOPs are critical to reduce specific risks.
Text
YCLNU-D-18-00164R2_monitoring nutriton
- Accepted Manuscript
More information
Accepted/In Press date: 5 July 2018
e-pub ahead of print date: 20 July 2018
Published date: 1 April 2019
Identifiers
Local EPrints ID: 422361
URI: http://eprints.soton.ac.uk/id/eprint/422361
ISSN: 0261-5614
PURE UUID: 2fc2b375-7df3-4f85-a05f-ed08376fd2ad
Catalogue record
Date deposited: 23 Jul 2018 16:30
Last modified: 16 Mar 2024 06:53
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Contributors
Author:
Mette M Berger
Author:
Annika Reintam-Blaser
Author:
Michael Casaer
Author:
Michael J. Hiesmayr
Author:
Konstantin Mayer
Author:
Juan Carlos Montejo
Author:
Claude Pichard
Author:
Jean-Charles Preiser
Author:
Arthur R.H. van Zanten
Author:
Stephan C. Bischoff
Author:
Pierre Singer
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