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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

The term “supplemental parenteral nutrition” should be restricted to studies meeting specific technical criteria

Authors: Claude Pichard, Mette M. Berger

Published in: Critical Care | Issue 1/2017

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Excerpt

Wischmeyer et al. recently reported the promising results of their TOP-UP pilot trial [1]. This letter aims at clarifying a semantic problem which has complicated the interpretation of many studies. The authors’ hypothesis was that supplemental parenteral nutrition (SPN) combined with enteral nutrition (EN) in ICU patients would improve 60-day survival: 125 patients on mechanical ventilation for acute respiratory failure were enrolled “within 3 days”. Patients were on EN or EN + SPN to reach 100% of the prescribed energy target, which was 25 or 20 kcal/kg actual body weight (BW) for BMI < 25 or > 35, respectively. …
Literature
1.
Wischmeyer PE, Hasselmann M, Kummerlen C, et al. A randomized trial of supplemental parenteral nutrition in underweight and overweight critically ill patients: the TOP-UP pilot trial. Crit Care. 2017;142(21):42.
2.
Heidegger CP, Romand JA, Treggiari MM, Pichard C. Is it now time to promote mixed enteral and parenteral nutrition for the critically ill patient? Intensive Care Med. 2007;33(6):963–9.CrossRefPubMed
3.
Heidegger CP, Berger MM, Graf S, et al. Optimization of energy provision with supplemental parenteral nutrition (SPN) improves the clinical outcome of critically ill patients: a randomized controlled trial. Lancet. 2013;381:385–93.CrossRefPubMed
4.
Oshima T, Berger MM, De Waele E, et al. Indirect calorimetry in nutritional therapy. A position paper by the ICALIC study group. Clin Nutr. 2017;36:651–62.CrossRefPubMed
Metadata
Title
The term “supplemental parenteral nutrition” should be restricted to studies meeting specific technical criteria
Authors
Claude Pichard
Mette M. Berger
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1884-x

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