A guide to enteral nutrition in intensive care units: 10 expert tips for the daily practice.

Détails

Ressource 1Télécharger: 34906215_BIB_14D460195304.pdf (1328.41 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_14D460195304
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
A guide to enteral nutrition in intensive care units: 10 expert tips for the daily practice.
Périodique
Critical care
Auteur⸱e⸱s
Preiser J.C., Arabi Y.M., Berger M.M., Casaer M., McClave S., Montejo-González J.C., Peake S., Reintam Blaser A., Van den Berghe G., van Zanten A., Wernerman J., Wischmeyer P.
ISSN
1466-609X (Electronic)
ISSN-L
1364-8535
Statut éditorial
Publié
Date de publication
14/12/2021
Peer-reviewed
Oui
Volume
25
Numéro
1
Pages
424
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Résumé
The preferential use of the oral/enteral route in critically ill patients over gut rest is uniformly recommended and applied. This article provides practical guidance on enteral nutrition in compliance with recent American and European guidelines. Low-dose enteral nutrition can be safely started within 48 h after admission, even during treatment with small or moderate doses of vasopressor agents. A percutaneous access should be used when enteral nutrition is anticipated for ≥ 4 weeks. Energy delivery should not be calculated to match energy expenditure before day 4-7, and the use of energy-dense formulas can be restricted to cases of inability to tolerate full-volume isocaloric enteral nutrition or to patients who require fluid restriction. Low-dose protein (max 0.8 g/kg/day) can be provided during the early phase of critical illness, while a protein target of > 1.2 g/kg/day could be considered during the rehabilitation phase. The occurrence of refeeding syndrome should be assessed by daily measurement of plasma phosphate, and a phosphate drop of 30% should be managed by reduction of enteral feeding rate and high-dose thiamine. Vomiting and increased gastric residual volume may indicate gastric intolerance, while sudden abdominal pain, distension, gastrointestinal paralysis, or rising abdominal pressure may indicate lower gastrointestinal intolerance.
Mots-clé
Critical Illness, Enteral Nutrition, Food, Formulated, Humans, Intensive Care Units, Residual Volume, Critically ill, Energy metabolism, Gastrointestinal dysfunction, Muscle wasting, Refeeding syndrome, Sarcopenia, Stress response
Pubmed
Web of science
Open Access
Oui
Création de la notice
20/12/2021 12:46
Dernière modification de la notice
08/08/2024 6:30
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