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Current insights in ICU nutrition: tailored nutrition

To summarize recent research on critical care nutrition focusing on the optimal composition, timing, and monitoring of enteral feeding strategies for (post)-ICU patients. We provide new insights on energy and protein recommendations, feeding intolerance, and describe nutritional practices for corona...

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Autores principales: Hermans, Anoek Jacqueline Hubertine, Laarhuis, Babette Irene, Kouw, Imre Willemijn Kehinde, van Zanten, Arthur Raymond Hubert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994849/
https://www.ncbi.nlm.nih.gov/pubmed/36762671
http://dx.doi.org/10.1097/MCC.0000000000001016
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author Hermans, Anoek Jacqueline Hubertine
Laarhuis, Babette Irene
Kouw, Imre Willemijn Kehinde
van Zanten, Arthur Raymond Hubert
author_facet Hermans, Anoek Jacqueline Hubertine
Laarhuis, Babette Irene
Kouw, Imre Willemijn Kehinde
van Zanten, Arthur Raymond Hubert
author_sort Hermans, Anoek Jacqueline Hubertine
collection PubMed
description To summarize recent research on critical care nutrition focusing on the optimal composition, timing, and monitoring of enteral feeding strategies for (post)-ICU patients. We provide new insights on energy and protein recommendations, feeding intolerance, and describe nutritional practices for coronavirus disease 2019 ICU patients. RECENT FINDINGS: The use of indirect calorimetry to establish individual energy requirements for ICU patients is considered the gold standard. The limited research on optimal feeding targets in the early phase of critical illness suggests avoiding overfeeding. Protein provision based upon the absolute lean body mass is rational. Therefore, body composition measurements should be considered. Body impedance analysis and muscle ultrasound seem reliable, affordable, and accessible methods to assess body composition at the bedside. There is inadequate evidence to change our practice of continuous enteral feeding into intermittent feeding. Finally, severe acute respiratory syndrome coronavirus 2 patients are prone to underfeeding due to hypermetabolism and should be closely monitored. SUMMARY: Nutritional therapy should be adapted to the patient's characteristics, diagnosis, and state of metabolism during ICU stay and convalescence. A personalized nutrition plan may prevent harmful over- or underfeeding and attenuate muscle loss. Despite novel insights, more research is warranted into tailored nutrition strategies during critical illness and convalescence.
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spelling pubmed-99948492023-03-09 Current insights in ICU nutrition: tailored nutrition Hermans, Anoek Jacqueline Hubertine Laarhuis, Babette Irene Kouw, Imre Willemijn Kehinde van Zanten, Arthur Raymond Hubert Curr Opin Crit Care GASTROINTESTINAL SYSTEM: Edited by Joost Wiersinga To summarize recent research on critical care nutrition focusing on the optimal composition, timing, and monitoring of enteral feeding strategies for (post)-ICU patients. We provide new insights on energy and protein recommendations, feeding intolerance, and describe nutritional practices for coronavirus disease 2019 ICU patients. RECENT FINDINGS: The use of indirect calorimetry to establish individual energy requirements for ICU patients is considered the gold standard. The limited research on optimal feeding targets in the early phase of critical illness suggests avoiding overfeeding. Protein provision based upon the absolute lean body mass is rational. Therefore, body composition measurements should be considered. Body impedance analysis and muscle ultrasound seem reliable, affordable, and accessible methods to assess body composition at the bedside. There is inadequate evidence to change our practice of continuous enteral feeding into intermittent feeding. Finally, severe acute respiratory syndrome coronavirus 2 patients are prone to underfeeding due to hypermetabolism and should be closely monitored. SUMMARY: Nutritional therapy should be adapted to the patient's characteristics, diagnosis, and state of metabolism during ICU stay and convalescence. A personalized nutrition plan may prevent harmful over- or underfeeding and attenuate muscle loss. Despite novel insights, more research is warranted into tailored nutrition strategies during critical illness and convalescence. Lippincott Williams & Wilkins 2023-04 2023-01-27 /pmc/articles/PMC9994849/ /pubmed/36762671 http://dx.doi.org/10.1097/MCC.0000000000001016 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/)
spellingShingle GASTROINTESTINAL SYSTEM: Edited by Joost Wiersinga
Hermans, Anoek Jacqueline Hubertine
Laarhuis, Babette Irene
Kouw, Imre Willemijn Kehinde
van Zanten, Arthur Raymond Hubert
Current insights in ICU nutrition: tailored nutrition
title Current insights in ICU nutrition: tailored nutrition
title_full Current insights in ICU nutrition: tailored nutrition
title_fullStr Current insights in ICU nutrition: tailored nutrition
title_full_unstemmed Current insights in ICU nutrition: tailored nutrition
title_short Current insights in ICU nutrition: tailored nutrition
title_sort current insights in icu nutrition: tailored nutrition
topic GASTROINTESTINAL SYSTEM: Edited by Joost Wiersinga
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9994849/
https://www.ncbi.nlm.nih.gov/pubmed/36762671
http://dx.doi.org/10.1097/MCC.0000000000001016
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