The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Monitoring nutrition in the ICU

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.
0261-5614
584-593
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
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), 584-593. (doi:10.1016/j.clnu.2018.07.009).

Record type: Article

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
Download (146kB)

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
ORCID for Philip Calder: ORCID iD orcid.org/0000-0002-6038-710X

Catalogue record

Date deposited: 23 Jul 2018 16:30
Last modified: 26 Nov 2021 06:08

Export record

Altmetrics

Contributors

Author: Mette M Berger
Author: Annika Reintam-Blaser
Author: Philip Calder ORCID iD
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

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×