Pragmatic approach to nutrition in the ICU: Expert opinion regarding which calorie protein target.

Détails

ID Serval
serval:BIB_0D1C5A04C414
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Pragmatic approach to nutrition in the ICU: Expert opinion regarding which calorie protein target.
Périodique
Clinical Nutrition
Auteur(s)
Singer P., Hiesmayr M., Biolo G., Felbinger T.W., Berger M.M., Goeters C., Kondrup J., Wunder C., Pichard C.
ISSN
1532-1983 (Electronic)
ISSN-L
0261-5614
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
33
Numéro
2
Pages
246-251
Langue
anglais
Notes
Publication types: Journal Article Publication Status: ppublish
Résumé
BACKGROUND & AIMS: Since the publications of the ESPEN guidelines on enteral and parenteral nutrition in ICU, numerous studies have added information to assist the nutritional management of critically ill patients regarding the recognition of the right population to feed, the energy-protein targeting, the route and the timing to start.
METHODS: We reviewed and discussed the literature related to nutrition in the ICU from 2006 until October 2013.
RESULTS: To identify safe, minimal and maximal amounts for the different nutrients and at the different stages of the acute illness is necessary. These amounts might be specific for different phases in the time course of the patient's illness. The best approach is to target the energy goal defined by indirect calorimetry. High protein intake (1.5 g/kg/d) is recommended during the early phase of the ICU stay, regardless of the simultaneous calorie intake. This recommendation can reduce catabolism. Later on, high protein intake remains recommended, likely combined with a sufficient amount of energy to avoid proteolysis.
CONCLUSIONS: Pragmatic recommendations are proposed to practically optimize nutritional therapy based on recent publications. However, on some issues, there is insufficient evidence to make expert recommendations.
Pubmed
Web of science
Open Access
Oui
Création de la notice
14/03/2014 11:09
Dernière modification de la notice
20/08/2019 13:34
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