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ESPEN guideline on clinical nutrition in the intensive care unit

ESPEN guideline on clinical nutrition in the intensive care unit
ESPEN guideline on clinical nutrition in the intensive care unit
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.
0261-5614
48-79
Singer, Pierre
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Blaser, Annika Reintam
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Berger, Mette M.
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Alhazzani, Waleed
22c6b7de-bef2-43fc-9218-92331a8f52a6
Calder, Philip C.
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Casaer, Michael
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Hiesmayr, Michael
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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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Oczkowski, Simon
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Szczeklik, Wojciech
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Bischoff, Stephan C.
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Singer, Pierre
88805cf3-dc4d-4568-8bd4-829ecc045109
Blaser, Annika Reintam
f5f9e1a3-df6f-4f71-b511-c7b94d8e23b4
Berger, Mette M.
d5aac953-914e-4a0f-b4b0-9ab8182fcd3e
Alhazzani, Waleed
22c6b7de-bef2-43fc-9218-92331a8f52a6
Calder, Philip C.
1797e54f-378e-4dcb-80a4-3e30018f07a6
Casaer, Michael
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Hiesmayr, Michael
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Mayer, Konstantin
b437d1bb-5655-428d-bcd0-9047df8d34b5
Montejo, Juan Carlos
00354f8c-bf89-42a9-82f8-67ad808d1242
Pichard, Claude
adbcad22-3cde-41f0-8b3f-15f8756a6fcc
Preiser, Jean-Charles
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van Zanten, Arthur R.H.
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Oczkowski, Simon
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Szczeklik, Wojciech
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Bischoff, Stephan C.
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Singer, Pierre, Blaser, Annika Reintam, Berger, Mette M., Alhazzani, Waleed, Calder, Philip C., Casaer, Michael, Hiesmayr, Michael, Mayer, Konstantin, Montejo, Juan Carlos, Pichard, Claude, Preiser, Jean-Charles, van Zanten, Arthur R.H., Oczkowski, Simon, Szczeklik, Wojciech and Bischoff, Stephan C. (2019) ESPEN guideline on clinical nutrition in the intensive care unit. Clinical Nutrition, 38 (1), 48-79. (doi:10.1016/j.clnu.2018.08.037).

Record type: Article

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.

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guidelines accepted Elsevier - Accepted Manuscript
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More information

Accepted/In Press date: 29 August 2018
e-pub ahead of print date: 29 September 2018
Published date: 1 February 2019

Identifiers

Local EPrints ID: 425309
URI: http://eprints.soton.ac.uk/id/eprint/425309
ISSN: 0261-5614
PURE UUID: 914721c4-ceb0-4cef-8048-c74eac5c1980
ORCID for Philip C. Calder: ORCID iD orcid.org/0000-0002-6038-710X

Catalogue record

Date deposited: 12 Oct 2018 16:30
Last modified: 26 Nov 2021 06:27

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Contributors

Author: Pierre Singer
Author: Annika Reintam Blaser
Author: Mette M. Berger
Author: Waleed Alhazzani
Author: Michael Casaer
Author: Michael Hiesmayr
Author: Konstantin Mayer
Author: Juan Carlos Montejo
Author: Claude Pichard
Author: Jean-Charles Preiser
Author: Arthur R.H. van Zanten
Author: Simon Oczkowski
Author: Wojciech Szczeklik
Author: Stephan C. Bischoff

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