by Mette M. Berger, Rosa Burgos, Michael P. Casaer, Edoardo
De Robertis, Juan Carlos Lopez Delgado, Vincent Fraipont, João
Gonçalves-Pereira, Claude Pichard and Christian Stoppe
Critical Care volume 26,
Article number: 271 (2022)
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.
No comments:
Post a Comment