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2022-09-10

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cc-by (c) Berger, M.M. et al., 2022
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/221163

Clinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients?

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https://doi.org/10.1186/s13054-022-04157-z

Abstract

A multidisciplinary group of international physicians involved in the medical nutrition therapy (MNT) of adult critically ill patients met to discuss the value, role, and open questions regarding supplemental parenteral nutrition (SPN) along with oral or enteral nutrition (EN), particularly in the intensive care unit (ICU) setting. This manuscript summarizes the discussions and results to highlight the importance of SPN as part of a comprehensive approach to MNT in critically ill adults and for researchers to generate new evidence based on well-powered randomized controlled trials (RCTs). The experts agreed on several key points: SPN has shown clinical benefits, resulting in this strategy being included in American and European guidelines. Nevertheless, its use is heterogeneous across European countries, due to the persistence of uncertainties, such as the optimal timing and the risk of overfeeding in absence of indirect calorimetry (IC), which results in divergent opinions and barriers to SPN implementation. Education is also insufficient. The experts agreed on actions needed to increase evidence quality on SPN use in specific patients at a given time point during acute critical illness or recovery.

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Unitats de cures intensives, Malalts en estat crític, Adults

Subject (English)

Intensive care units, Critically ill, Adulthood

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Articles publicats en revistes (Infermeria Fonamental i Clínica)

Citation

BERGER, Mette M., et al. Clinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients?. Critical Care. 2022. Vol. 26. ISSN 1364-8535. [consulted: 9 of August of 2026]. Available at: https://hdl.handle.net/2445/221163

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