Monitoring nutrition in the ICU.
Blood Glucose
/ analysis
Body Composition
/ physiology
Critical Care
/ methods
Electrolytes
/ blood
Energy Metabolism
/ physiology
Europe
Humans
Intensive Care Units
Liver Function Tests
/ statistics & numerical data
Malnutrition
/ blood
Nutrition Assessment
Nutritional Status
Nutritional Support
/ methods
Practice Guidelines as Topic
Triglycerides
/ blood
Critical illness
Energy balance
Glucose
Phosphate
Standard operating procedures
Journal
Clinical nutrition (Edinburgh, Scotland)
ISSN: 1532-1983
Titre abrégé: Clin Nutr
Pays: England
ID NLM: 8309603
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
06
02
2018
revised:
02
07
2018
accepted:
05
07
2018
pubmed:
6
8
2018
medline:
21
4
2020
entrez:
6
8
2018
Statut:
ppublish
Résumé
This position paper summarizes theoretical and practical aspects of the monitoring of artificial nutrition and metabolism in critically ill patients, thereby completing ESPEN guidelines on intensive care unit (ICU) nutrition. Available literature and personal clinical experience on monitoring of nutrition and metabolism was systematically reviewed by the ESPEN group for ICU nutrition guidelines. We did not identify any studies comparing outcomes with monitoring versus not monitoring nutrition therapy. The potential for abnormal values to be associated with harm was clearly recognized. The necessity to create locally adapted standard operating procedures (SOPs) for follow up of enteral and parenteral nutrition is emphasised. Clinical observations, laboratory parameters (including blood glucose, electrolytes, triglycerides, liver tests), and monitoring of energy expenditure and body composition are addressed, focusing on prevention, and early detection of nutrition-related complications. Understanding and defining risks and developing local SOPs are critical to reduce specific risks.
Sections du résumé
BACKGROUND & AIMS
This position paper summarizes theoretical and practical aspects of the monitoring of artificial nutrition and metabolism in critically ill patients, thereby completing ESPEN guidelines on intensive care unit (ICU) nutrition.
METHODS
Available literature and personal clinical experience on monitoring of nutrition and metabolism was systematically reviewed by the ESPEN group for ICU nutrition guidelines.
RESULTS
We did not identify any studies comparing outcomes with monitoring versus not monitoring nutrition therapy. The potential for abnormal values to be associated with harm was clearly recognized. The necessity to create locally adapted standard operating procedures (SOPs) for follow up of enteral and parenteral nutrition is emphasised. Clinical observations, laboratory parameters (including blood glucose, electrolytes, triglycerides, liver tests), and monitoring of energy expenditure and body composition are addressed, focusing on prevention, and early detection of nutrition-related complications.
CONCLUSION
Understanding and defining risks and developing local SOPs are critical to reduce specific risks.
Identifiants
pubmed: 30077342
pii: S0261-5614(18)31211-1
doi: 10.1016/j.clnu.2018.07.009
pii:
doi:
Substances chimiques
Blood Glucose
0
Electrolytes
0
Triglycerides
0
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
584-593Informations de copyright
Copyright © 2018. Published by Elsevier Ltd.