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01-02-2022 | Septicemia | Correspondence

Is “within 72 h” sufficiently early?

Authors: Naoki Higashibeppu, Kensuke Nakamura, Tomoaki Yatabe, Joji Kotani

Published in: Intensive Care Medicine | Issue 2/2022

Excerpt

We read the new Surviving Sepsis Campaign Guidelines (SSCG) 2021 [1] with great interest. We herein express our concern regarding one of its recommendations. The authors indicated that “For adult patients with sepsis or septic shock who can be fed enterally, we suggest early (within 72 h) initiation of enteral nutrition”. To date, SSCG 2016 [2] and other international guidelines have defined the initiation of enteral nutrition (EN) within 48 h as early and have recommended the early initiation of EN. The same recommendation was suggested in the Japanese Sepsis Guidelines (J-SSCG) 2020 [3]. …

Evans L, Rhodes A, Alhazzani W et al (2021) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med. https://doi.org/10.1007/s00134-021-06506-yCrossRef

Rhodes A, Evans LE, Alhazzani W et al (2017) Surviving sepsis campaign: international guidelines for management of sepsis and septic shock: 2016. Intensive Care Med 43:304–377CrossRef

Egi M, Ogura H, Yatabe T et al (2021) The Japanese clinical practice guidelines for management of sepsis and septic shock 2020 (J-SSCG 2020). J Intensive Care 9:53. https://doi.org/10.1186/s40560-021-00555-7CrossRefPubMedPubMedCentral

Minard G, Kudsk KA, Melton S et al (2000) Early versus delayed feeding with an immune-enhancing diet in patients with severe head injuries. J Parenter Enteral Nutr 24(3):145–149. https://doi.org/10.1177/0148607100024003145CrossRef

Reignier J, Boisramé-Helms J, Brisard L et al (2018) Enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2). Lancet 391:133–143. https://doi.org/10.1016/S0140-6736(17)32146-3CrossRefPubMed

Title: Is “within 72 h” sufficiently early?
Authors: Naoki Higashibeppu
Kensuke Nakamura
Tomoaki Yatabe
Joji Kotani
Publication date: 01-02-2022
Publisher: Springer Berlin Heidelberg
Keywords: Septicemia
Septicemia
Published in: Intensive Care Medicine / Issue 2/2022
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-021-06561-5

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