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Considering energydeficit in theintensive care unit Pierre SingerClaude PichardClaudia Paula Heidegger2010 год

Considering energy deficit in the intensive care unit
review

Страница публикацииПубликация в OpenAlex
Аннотация: Purpose of review A discrepancy has emerged between experts' recommendations on how to feed ICU patients according to their requirements using parenteral nutrition, if enteral nutrition is not reaching the target. This review describes the differences in the recent guidelines issued by the American Society of Parenteral and Enteral Nutrition (ASPEN) and the European Society of Clinical Nutrition and Metabolism (ESPEN) regarding these aspects. Recent findings ASPEN/Society of Critical Care medicine (SCCM) experts hesitate to recommend the administration of parenteral nutrition to nonmalnourished ICU patients receiving some but not an adequate amount of enteral feeding during the first 7–10 days after admission. ESPEN guidelines recommend to compensate the deficit by adding parenteral nutrition after 24–48 h. These recommendations are mainly based on observational studies showing a strong correlation between negative energy balance and morbidity-mortality. Summary The energy deficit accumulated by underfed ICU patients during the first days of stay may play an important role in ICU and hospital outcomes for long-staying ICU patients. To reach calorie requirements by artificial nutritional support without harming the patient is still a subject of debate. Future studies, some already on their way will clarify this discussion.
Год издания: 2010
Авторы: Pierre Singer, Claude Pichard, Claudia Paula Heidegger, Jan Wernerman
Издательство: Lippincott Williams & Wilkins
Источник: Current Opinion in Clinical Nutrition & Metabolic Care
Ключевые слова: Clinical Nutrition and Gastroenterology, Electrolyte and hormonal disorders, Abdominal Surgery and Complications
Другие ссылки: Current Opinion in Clinical Nutrition & Metabolic Care (HTML)
PubMed (HTML)