ESPEN guideline on clinical nutrition in the intensive care unit

被引：1658

作者：

Singer, Pierre ^{[1
,2
]}

Blaser, Annika Reintam ^{[3
,4
]}

Berger, Mette M. ^{[5
]}

Alhazzani, Waleed ^{[6
,7
]}

Calder, Philip C. ^{[8
,9
]}

Casaer, Michael P. ^{[10
,11
,12
]}

Hiesmayr, Michael ^{[13
]}

Mayer, Konstantin ^{[14
]}

Carlos Montejo, Juan ^{[15
]}

Pichard, Claude ^{[16
]}

Preiser, Jean-Charles ^{[17
]}

van Zanten, Arthur R. H. ^{[18
]}

Oczkowski, Simon ^{[6
,7
]}

Szczeklik, Wojciech ^{[19
]}

Bischoff, Stephan C. ^{[20
]}

机构：

[1] Tel Aviv Univ, Sackler Sch Med, Beilinson Hosp, Dept Gen Intens Care,Rabin Med Ctr, Tel Aviv, Israel

[2] Tel Aviv Univ, Sackler Sch Med, Beilinson Hosp, Inst Nutr Res,Rabin Med Ctr, Tel Aviv, Israel

[3] Univ Tartu, Dept Anaesthesiol & Intens Care, Tartu, Estonia

[4] Lucerne Cantonal Hosp, Dept Intens Care Med, Luzern, Switzerland

[5] Lausanne Univ Hosp, Serv Adult Intens Care & Burns, Lausanne, Switzerland

[6] McMaster Univ, Dept Med, Div Crit Care, Hamilton, ON, Canada

[7] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada

[8] Univ Southampton, Fac Med, Human Dev & Hlth Acad Unit, Southampton, Hants, England

[9] Univ Hosp Southampton NHS Fdn Trust, NIHR Southampton Biomed Res Ctr, Southampton, Hants, England

[10] Catholic Univ Hosp UZLeuven, Clin Dept, Leuven, Belgium

[11] Catholic Univ Hosp UZLeuven, Lab Intens Care Med, Leuven, Belgium

[12] Katholieke Univ Leuven, Leuven, Belgium

[13] Med Univ Vienna, Div Cardiac Thorac Vasc Anaesthesia & Intens Care, Vienna, Austria

[14] Univ Klinikum Giessen Med, Giessen, Germany

[15] Hosp Univ 12 Octobre, Serv Med Intens, Madrid, Spain

[16] Geneva Univ Hosp, Clin Nutr, Geneva, Switzerland

[17] Univ Libre Bruxelles, Erasme Univ Hosp, Dept Intens Care, Brussels, Belgium

[18] Gelderse Vallei Hosp, Dept Intens Care, Ede, Netherlands

[19] Jagiellonian Univ, Med Coll, Dept Intens Care & Perioperat Med, Krakow, Poland

[20] Univ Hohenheim, Dept Nutr Med Prevent, Stuttgart, Germany

来源：

CLINICAL NUTRITION | 2019年 / 38卷 / 01期

关键词：

Intensive care; Nutrition; Enteral; Parenteral; Guidelines; ESPEN; CRITICALLY-ILL PATIENTS; EARLY ENTERAL NUTRITION; GAMMA-LINOLENIC ACID; RANDOMIZED CONTROLLED-TRIAL; RESPIRATORY-DISTRESS-SYNDROME; TRAUMATIC BRAIN-INJURY; SUPPLEMENTAL PARENTERAL-NUTRITION; MECHANICALLY VENTILATED PATIENTS; VITAMIN-D DEFICIENCY; ACUTE LUNG INJURY;

D O I：

10.1016/j.clnu.2018.08.037

中图分类号：

R15 [营养卫生、食品卫生]; TS201 [基础科学];

学科分类号：

100403 ;

摘要：

Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document. (C) 2018 European Society for Clinical Nutrition and Metabolism. Published by Elsevier Ltd. All rights reserved.

引用

页码：48 / 79

页数：32

共 352 条

[1] Fish Oil-Containing Lipid Emulsions in Adult Parenteral Nutrition: A Review of the Evidence [J].