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Intensive Care Medicine

Erschienen in:

01.02.2014 | What's New in Intensive Care

The truth about nutrition in the ICU

verfasst von: P. Singer, G. S. Doig, C. Pichard

Erschienen in: Intensive Care Medicine | Ausgabe 2/2014

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Excerpt

For the critically ill patient who is expected to remain more than 48 h in the intensive care unit (ICU), the need for nutrition is an accepted standard of care. The traditional screening tools used to identify malnutrition on the hospital ward are not adequate for use in the ICU because critically ill patients cannot communicate verbally to provide diet histories. Due to their high catabolic state, all ICU patients are at risk of developing malnutrition if not fed adequately. Since critically ill patients may be so different in terms of pathologies and severity, “One size does not fit all” may be the message for nutrition in the ICU. …

Doig GS, Simpson F, Delaney A (2005) A review of the true methodological quality of nutritional support trials conducted in the critically ill: time for improvement. Anesth Analg 100(2):527–533PubMedCrossRef

Kreymann KG, Berger MM, Deutz NE et al (2006) ESPEN Guidelines on enteral nutrition: intensive care. Clin Nutr 25(2):210–223PubMedCrossRef

Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR (2009) Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med 35(12):2018–2027PubMedCrossRef

Doig GS, Chevrou-Severac H, Simpson F (2013) Early enteral nutrition in critical illness: a full economic analysis using US costs. Clinicoecon Outcomes Res 5:429–436PubMedCentralPubMedCrossRef

Grau T, Bonet A, Rubio M et al (2007) Liver dysfunction associated with artificial nutrition in critically ill patients. Crit Care 11:R10PubMedCrossRef

Devaud JC, Berger MM, Pamalier A et al (2012) Hypertriglyceridemia: a potential side effect of propofol sedation in critical illness. Intensive Care Med 38:1990–1998PubMedCrossRef

Dvir D, Cohen J, Singer P (2006) Computerized energy balance and complications in critically ill patients: an observational study. Clin Nutr 25(1):37–44PubMedCrossRef

Singer P, Anbar R, Cohen J et al (2009) The Tight Calorie Control Study (TICACOS): a prospective, randomized, controlled study of nutritional support in critically ill patients. Intensive Care Med 37:601–609CrossRef

Wakita M, Wakayama A, Omori Y, Ichimaru S, Amagai T (2013) Impact of energy intake on the survival rate of patients with severely ill stroke. Asia Pac J Clin Nutr 22:474–481

10.

Singer P, Berger MM, Van den Berghe G, Biolo G, Calder P, Forbes A, Griffiths R, Kreyman G, Leverve X, Pichard C (2009) ESPEN Guidelines on parenteral nutrition: intensive care. Clin Nutr 28:387–400PubMedCrossRef

11.

Casaer MP, Mesotten D, Hermans G, Wouters PJ, Schetz M, Meyfroidt G, Van Cromphaut S, Ingels C, Meersseman P, Muller J et al (2011) Early versus late parenteral nutrition in critically ill adults. N Engl J Med 365(6):506–517PubMedCrossRef

12.

Heidegger CP, Berger MM, Graf S, Zingg W, Darmon P, Costanza MC, Thibault R, Pichard C (2013) Optimisation of energy provision with supplemental parenteral nutrition in critically ill patients: a randomised controlled clinical trial. Lancet 381(9864):385–393PubMedCrossRef

13.

Puthucheary ZA, Rawal J, McPhail M et al (2013) Acute skeletal muscle wasting in critical illness. JAMA 310:1591–1600PubMedCrossRef

14.

Winkelman C, Johnson KD, Hejal R, Gordon NH, Rowbottom J, Daly J, Peereboom K, Levine AD (2012) Examining the positive effects of exercise in intubated adults in ICU: a prospective repeated measures clinical study. Intensive Crit Care Nurs (E-pub ahead of print)

15.

Heyland D, Muscedere J, Wischmeyer PE, Cook D, Jones G, Albert M, Elke G, Berger MM, Day AG, Canadian Critical Care Trials Group (2013) A randomized trial of glutamine and antioxidants in critically ill patients. N Engl J Med 368(16):1489–1497PubMedCrossRef

16.

Alhazzani W, Jacobi J, Sindi A, Hartog C, Reinhart K, Kokkoris S, Gerlach H, Andrews P, Drabek T, Manzanares W, Cook DJ, Jaeschke RZ (2013) The effect of selenium therapy on mortality in patients with sepsis syndrome: a systematic review and meta-analysis of randomized controlled trials. Crit Care Med 41(6):1555–1564PubMedCrossRef

17.

Singer P, Theilla M, Fisher H (2006) Benefit of an enteral diet enriched with eicosapentaenoic acid and gamma-linolenic acid in ventilated patients with acute lung injury. Crit Care Med 34:1033–1038PubMedCrossRef

18.

Pradelli L, Mayer K, Muscaritoli M, Heller AR (2012) n-3 fatty acid-enriched parenteral nutrition regimens in elective surgical and ICU patients: a meta-analysis. Crit Care 16(5):R184PubMedCrossRef

19.

Van den Berghe G, Wouters P, Weekers F et al (2001) Intensive insulin therapy in critically ill patients. N Engl J Med 345(19):1359–1367PubMedCrossRef

20.

Finfer S, Chittock DR, Su SY et al (2009) Intensive versus conventional glucose control in critically ill patients. N Engl J Med 360(13):1283–1297PubMedCrossRef

21.

Reignier J, Mercier E, Le Gouge A, Boulain T, Desachy A, Bellec F, Clavel M, Frat JP, Plantefeve G, Quenot JP, Lascarrou JB, Clinical Research in Intensive Care and Sepsis (CRICS) Group (2013) Effect of not monitoring residual gastric volume on risk of ventilator-associated pneumonia in adults receiving mechanical ventilation and early enteral feeding: a randomized controlled trial. JAMA 309:249–256PubMedCrossRef

Titel: The truth about nutrition in the ICU
verfasst von: P. Singer
G. S. Doig
C. Pichard
Publikationsdatum: 01.02.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 2/2014
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-013-3162-y

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