ESPEN Guidelines on Enteral Nutrition: Intensive care.

Détails

ID Serval
serval:BIB_EA5E6917F3FA
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
ESPEN Guidelines on Enteral Nutrition: Intensive care.
Périodique
Clinical Nutrition
Auteur⸱e⸱s
Kreymann K.G., Berger M.M., Deutz N.E., Hiesmayr M., Jolliet P., Kazandjiev G., Nitenberg G., van den Berghe G., Wernerman J., Ebner C., Ebner C., Hartl W., Heymann C., Spies C.
Collaborateur⸱rice⸱s
DGEM (German Society for Nutritional Medicine), ESPEN (European Society for Parenteral, Enteral Nutrition)
ISSN
0261-5614 (Print)
ISSN-L
0261-5614
Statut éditorial
Publié
Date de publication
2006
Peer-reviewed
Oui
Volume
25
Numéro
2
Pages
210-223
Langue
anglais
Notes
Publication types: Consensus Development Conference ; Journal Article ; Practice GuidelinePublication Status: ppublish
Résumé
Enteral nutrition (EN) via tube feeding is, today, the preferred way of feeding the critically ill patient and an important means of counteracting for the catabolic state induced by severe diseases. These guidelines are intended to give evidence-based recommendations for the use of EN in patients who have a complicated course during their ICU stay, focusing particularly on those who develop a severe inflammatory response, i.e. patients who have failure of at least one organ during their ICU stay. These guidelines were developed by an interdisciplinary expert group in accordance with officially accepted standards and are based on all relevant publications since 1985. They were discussed and accepted in a consensus conference. EN should be given to all ICU patients who are not expected to be taking a full oral diet within three days. It should have begun during the first 24h using a standard high-protein formula. During the acute and initial phases of critical illness an exogenous energy supply in excess of 20-25 kcal/kg BW/day should be avoided, whereas, during recovery, the aim should be to provide values of 25-30 total kcal/kg BW/day. Supplementary parenteral nutrition remains a reserve tool and should be given only to those patients who do not reach their target nutrient intake on EN alone. There is no general indication for immune-modulating formulae in patients with severe illness or sepsis and an APACHE II Score >15. Glutamine should be supplemented in patients suffering from burns or trauma.
Mots-clé
APACHE, Critical Illness/therapy, Enteral Nutrition/methods, Enteral Nutrition/standards, Europe, Gastroenterology/standards, Humans, Intensive Care/methods, Intensive Care/standards, Nutritional Requirements, Patient Care Team/standards, Physician's Practice Patterns/standards
Pubmed
Web of science
Création de la notice
25/07/2013 14:09
Dernière modification de la notice
20/08/2019 16:12
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