13 March 2019

ESPEN guideline on clinical nutrition in the intensive care unit

Posted in English, Indirect Calorimetry, Scientific

American Journal of Respiratory and Critical Care Medicine

The present guideline is an update and extension of the previous ESPEN guidelines on enteral nutrition (EN) and parenteral nutrition (PN) in adult critically ill patients published in 2006 and 2009, respectively. Since then, the ESPEN methodology has been upgraded resulting in rigorous evidence-based and consensus-based recommendations.

The best and most updated knowledge from the literature, analysed by professional methodologists and critical care nutrition experts as well as by invited critical care professionals, is integrated in order to reach the best achievable recommendations. The ultimate goal is to achieve optimal nutritional support for ICU patients and to illuminate the gaps in knowledge in order to provide priorities for future clinical research.

In the current guideline, recommendations are made recognizing that the acute metabolic changes as well as calorie and protein deficits play a major role in patient outcome.

The decisive role of Indirect Calorimetry is also defined:
«Recommendation 15
In critically ill mechanically ventilated patients, EE should be determined by using indirect calorimetry.
Grade of recommendation: B - strong consensus (95% agreement)»


The article details are the following:

- Title: ESPEN guideline on clinical nutrition in the intensive care unit
- Authors: Singer P, Reintam Blaser A, Berger MM, Alhazzani W, Calder PC, Casaer MP, Hiesmayr M, Mayer K, Montejo JC, Pichard C, Preiser JC, van Zanten ARH, Oczkowski S, Szczeklik W, Bischoff SC
- Published in: Clinical Nutrition. 2019 Feb;38(1):48-79

The study can be downloaded for free at the following link: click here


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