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Published in: Intensive Care Medicine 2/2014

01-02-2014 | What's New in Intensive Care

The truth about nutrition in the ICU

Authors: P. Singer, G. S. Doig, C. Pichard

Published in: Intensive Care Medicine | Issue 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. …
Literature
1.
go back to reference 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 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
2.
go back to reference Kreymann KG, Berger MM, Deutz NE et al (2006) ESPEN Guidelines on enteral nutrition: intensive care. Clin Nutr 25(2):210–223PubMedCrossRef Kreymann KG, Berger MM, Deutz NE et al (2006) ESPEN Guidelines on enteral nutrition: intensive care. Clin Nutr 25(2):210–223PubMedCrossRef
3.
go back to reference 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, 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
4.
go back to reference 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 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
5.
go back to reference Grau T, Bonet A, Rubio M et al (2007) Liver dysfunction associated with artificial nutrition in critically ill patients. Crit Care 11:R10PubMedCrossRef Grau T, Bonet A, Rubio M et al (2007) Liver dysfunction associated with artificial nutrition in critically ill patients. Crit Care 11:R10PubMedCrossRef
6.
go back to reference 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 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
7.
go back to reference 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 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
8.
go back to reference 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 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
9.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference Puthucheary ZA, Rawal J, McPhail M et al (2013) Acute skeletal muscle wasting in critical illness. JAMA 310:1591–1600PubMedCrossRef Puthucheary ZA, Rawal J, McPhail M et al (2013) Acute skeletal muscle wasting in critical illness. JAMA 310:1591–1600PubMedCrossRef
14.
go back to reference 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) 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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.
go back to reference 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 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
Metadata
Title
The truth about nutrition in the ICU
Authors
P. Singer
G. S. Doig
C. Pichard
Publication date
01-02-2014
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 2/2014
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-013-3162-y

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