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Name of Media:

ESPEN guideline on clinical nutrition in the intensive care unit

Author(s):

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

Publisher or Source:

European Society for Clinical Nutrition and Metabolism

Type of Media:

Medical Journal

Media Originally for:

Critical Care Physicians,Nurses and/or Other Critical Care Medical Professionals

Country of Origin:

Belgium

Primary Focus of Media:

Pre-Use of PICS Designation

COVID-19 Related:

No

Description:

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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