Indirect calorimetry in critical illness: a new standard of care?
Journal
Current opinion in critical care
ISSN: 1531-7072
Titre abrégé: Curr Opin Crit Care
Pays: United States
ID NLM: 9504454
Informations de publication
Date de publication:
01 08 2021
01 08 2021
Historique:
pubmed:
16
5
2021
medline:
2
7
2021
entrez:
15
5
2021
Statut:
ppublish
Résumé
Review recent literature on the role of indirect calorimetry in critical care nutrition management. Critical illness demands objective, targeted nutritional therapy to prevent adverse effects of underfeeding/over feeding. Thus, all recent societal guidelines recommend indirect calorimetry use to determine energy needs. Very recently, indirect calorimetry technology has finally evolved to allow for accurate, simple, and routine utilization in a wider range of ICU patients. Recent data continues to confirm poor correlation between measured and equation-predicted energy expenditure emphasizing need for indirect calorimetry to be standard of care. This may be particularly true in COVID-19, where significant progressive hypermetabolism and variability in energy expenditure has been shown. Metabolic physiology can change frequently during ICU stay in response to changes in clinical condition or care. Thus, repeated longitudinal indirect calorimetry measures are needed throughout ICU stay to optimize care, with initial data showing improved clinical outcomes when indirect calorimetry targets are utilized. Personalized ICU care demands objective data to guide therapy. This includes use of indirect calorimetry to determine energy expenditure and guide ICU nutrition therapy. Long-awaited new innovations in indirect calorimetry technology should finally lead to indirect calorimetry to becoming a fundamental component of modern ICU standard of care and clinical research moving forward.
Identifiants
pubmed: 33990505
doi: 10.1097/MCC.0000000000000844
pii: 00075198-202108000-00003
pmc: PMC8367824
mid: NIHMS1700640
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
334-343Subventions
Organisme : NHLBI NIH HHS
ID : R34 HL109369
Pays : United States
Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Références
Singer P, Blaser AR, Berger MM, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr 2019; 38:48–79.
McClave SA, Taylor BE, Martindale RG, et al. Guidelines for the Provision and assessment of nutrition support therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2016; 40:159–211.
Achamrah N, Delsoglio M, De Waele E, et al. Indirect calorimetry: the 6 main issues. Clin Nutr 2021; 40:4–14.
Fraipont V, Preiser JC. Energy estimation and measurement in critically ill patients. JPEN J Parenter Enteral Nutr 2013; 37:705–713.
Guttormsen AB, Pichard C. Determining energy requirements in the ICU. Curr Opin Clin Nutr Metab Care 2014; 17:171–176.
Israfilov E, Kir S. Comparison of energy expenditure in mechanically ventilated septic shock patients in acute and recovery periods via indirect calorimetry. JPEN J Parenter Enteral Nutr 2020; [Epub ahead of print].
Smetana KS, Hannawi Y, May CC. Indirect calorimetry measurements compared with guideline weight-based energy calculations in critically ill stroke patients. JPEN J Parenter Enteral Nutr 2020.
Zusman O, Kagan I, Bendavid I, et al. Predictive equations versus measured energy expenditure by indirect calorimetry: a retrospective validation. Clin Nutr 2019; 38:1206–1210.
Koekkoek WAC, Xiaochen G, van Dijk D, van Zanten ARH. Resting energy expenditure by indirect calorimetry versus the ventilator-VCO(2) derived method in critically ill patients: The DREAM-VCO(2) prospective comparative study. Clin Nutr ESPEN 2020; 39:137–143.
Sundstrom M, Tjader I, Rooyackers O, Wernerman J. Indirect calorimetry in mechanically ventilated patients. A systematic comparison of three instruments. Clin Nutr 2013; 32:118–121.
Graf S, Karsegard VL, Viatte V, et al. Evaluation of three indirect calorimetry devices in mechanically ventilated patients: which device compares best with the Deltatrac II((R))? A prospective observational study. Clin Nutr 2015; 34:60–65.
De Waele E, Spapen H, Honore PM, et al. Introducing a new generation indirect calorimeter for estimating energy requirements in adult intensive care unit patients: feasibility, practical considerations, and comparison with a mathematical equation. J Crit Care 2013; 28:884.e1–886.e6.
Oshima T, Berger MM, De Waele E, et al. Indirect calorimetry in nutritional therapy. A position paper by the ICALIC study group. Clinical Nutrition 2017; 36:651–662.
Delsoglio M, Dupertuis YM, Oshima T, et al. Evaluation of the accuracy and precision of a new generation indirect calorimeter in canopy dilution mode. Clin Nutr 2020; 39:1927–1934.
Oshima T, Delsoglio M, Dupertuis YM, et al. The clinical evaluation of the new indirect calorimeter developed by the ICALIC project. Clin Nutr 2020.
Jonckheer J, Spapen H, Malbrain M, et al. Energy expenditure and caloric targets during continuous renal replacement therapy under regional citrate anticoagulation. A viewpoint. Clin Nutr 2020; 39:353–357.
Jonckheer J, Demol J, Lanckmans K, et al. MECCIAS trial: metabolic consequences of continuous veno-venous hemofiltration on indirect calorimetry. Clin Nutr 2020; 39:3797–3803.
Wollersheim T, Frank S, Müller MC, et al. Measuring energy expenditure in extracorporeal lung support Patients (MEEP) - protocol, feasibility and pilot trial. Clin Nutr 2018; 37:301–307.
De Waele E, Jonckheer J, Pen JJ, et al. Energy expenditure of patients on ECMO: a prospective pilot study. Acta Anaesthesiol Scand 2019; 63:360–364.
Moonen H, Beckers KJH, van Zanten ARH. Energy expenditure and indirect calorimetry in critical illness and convalescence: current evidence and practical considerations. J Intensive Care 2021; 9:8.
Berlin D, Gulick R, Martinez F. Severe Covid-19. New Engl J Med 2020.
Whittle J, Molinger J, MacLeod D, et al. Group L-CS: persistent hypermetabolism and longitudinal energy expenditure in critically ill patients with COVID-19. Crit Care 2020; 24:581.
Uehara M, Plank LD, Hill GL. Components of energy expenditure in patients with severe sepsis and major trauma: a basis for clinical care. Crit Care Med 1999; 27:1295–1302.
Yu PJ, Cassiere H, DeRosa S, et al. Hypermetabolism and coronavirus disease 2019. JPEN J Parenter Enteral Nutr 2020; 44:1234–1236.
Koekkoek WAC, Menger YA, van Zanten FJL, et al. The effect of cisatracurium infusion on the energy expenditure of critically ill patients: an observational cohort study. Critical Care 2020; 24:32.
van Niekerk G, Meaker C, Engelbrecht AM. Nutritional support in sepsis: when less may be more. Crit Care 2020; 24:53.
Mtaweh H, Soto Aguero MJ, Campbell M, et al. Systematic review of factors associated with energy expenditure in the critically ill. Clin Nutr ESPEN 2019; 33:111–124.
Molinger J, Pastva AM, Whittle J, Wischmeyer PE. Novel approaches to metabolic assessment and structured exercise to promote recovery in ICU survivors. Curr Opin Crit Care 2020; 26:369–378.
van Zanten ARH, De Waele E, Wischmeyer PE. Nutrition therapy and critical illness: practical guidance for the ICU, post-ICU, and long-term convalescence phases. Crit Care 2019; 23:368.
Wischmeyer PE. Nutrition therapy in sepsis. Crit Care Clin 2018; 34:107–125.
Duan JY, Zheng WH, Zhou H, et al. Energy delivery guided by indirect calorimetry in critically ill patients: a systematic review and meta-analysis. Crit Care 2021; 25:88.
Fetterplace K, Beach LJ, MacIsaac C, et al. Associations between nutritional energy delivery, bioimpedance spectroscopy and functional outcomes in survivors of critical illness. J Hum Nutr Diet 2019; 32:702–712.
Sundström Rehal M, Liebau F, Wernerman J, Rooyackers O. Whole-body protein kinetics in critically ill patients during 50 or 100% energy provision by enteral nutrition: A randomized cross-over study. PLoS One 2020; 15:e0240045.
Kaukonen KM, Bailey M, Suzuki S, et al. Mortality related to severe sepsis and septic shock among critically ill patients in Australia and New Zealand, 2000-2012. JAMA 2014; 311:1308–1316.
Lazaridis C, Mansour A. To decompress or not? An expected utility inspired approach to shared decision-making for supratentorial ischemic stroke. Neurocrit Care 2021.
Wischmeyer PE. Are we creating survivors…or victims in critical care? Delivering targeted nutrition to improve outcomes. Curr Opin Crit Care 2016; 22:279–284.
Wischmeyer PE, Molinger J, Haines K. Indirect calorimetry is essential for optimal nutrition therapy in the ICU. Nutr Clin Pract 2021; (in press).