13 mars 2019
ESPEN guideline on clinical nutrition in the intensive care unit
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:
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
Founded in 1980, COSMED is a privately owned company manufacturing Cardio Pulmonary and Metabolic Diagnostic Equipment. COSMED products include a full range of Spirometers, Pulmonary Function, Body Composition, Nutritional Assessment and Cardio Pulmonary Exercise systems, including Electrocardiographs, Ergometers and Assessment Software. COSMED solutions are aimed for either professional or medical use for many different applications like: Hospital, Clinics, Primary Care, University & Education in Human Physiology, Clinical Nutrition, Commercial Weight Management, Human Performance Centers, Sport Institutions and Health Club Industry. COSMED Headquarters are located in the province of Rome, Italy. COSMED has subsidiaries in the USA, France, China, Benelux and Germany, and distributes its products internationally through a constantly growing distributor network covering more than 70 countries.