Parenteral nutrition in the ICU: Lessons learned over the past few years.

Détails

ID Serval
serval:BIB_EF7A887DED0D
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
Parenteral nutrition in the ICU: Lessons learned over the past few years.
Périodique
Nutrition
Auteur⸱e⸱s
Berger M.M., Pichard C.
ISSN
1873-1244 (Electronic)
ISSN-L
0899-9007
Statut éditorial
Publié
Date de publication
03/2019
Peer-reviewed
Oui
Volume
59
Pages
188-194
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Since the early 1990s enteral nutrition (EN) has been considered the optimal route of feeding rather than parenteral nutrition (PN), which was considered harmful in critically ill patients with intense inflammation. The aim of this review was to summarize recent developments and progress in PN, which have changed the view on this feeding technique. PubMed and personal databases were searched for studies and reviews reporting historical development of PN, and for clinical trials conducted after 2010 investigating PN in critical illness, comparing it to EN or not. Trials from the past decade have explored modalities and timing of artificial feeding. Trials based on equation-estimated energy targets and applying an early full feeding strategy have generally had negative results in terms of complications (infections, prolonged ventilation, and intestinal complications with EN). The few trials that based their targets on measured energy targets have achieved reduction of complications regardless of the route. Opposing enteral and parenteral feeding is no longer rational in the critical care setting. A pragmatic and reasonable approach offers better options for the individual patient. Although PN is simpler to deliver than EN, its metabolic consequences are more complicated to handle. A combination of both techniques may be a more reasonable approach in the sickest patients.
Mots-clé
Critical Care/trends, Critical Illness/therapy, Humans, Intensive Care Units, Parenteral Nutrition/trends, Clinical outcome, Critical illness, Infections, Lean body mass, Metabolism, Nutrition therapy
Pubmed
Web of science
Création de la notice
05/01/2019 16:25
Dernière modification de la notice
05/04/2020 5:20
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