ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit

Pierre Singer; Annika Reintam Blaser; Mette M Berger; Philip C Calder; Michael Casaer; Michael Hiesmayr; Konstantin Mayer; Juan Carlos Montejo-Gonzalez; Claude Pichard; Jean-Charles Preiser; Wojciech Szczeklik; Arthur R H van Zanten; Stephan C Bischoff

doi:10.1016/j.clnu.2023.07.011

ESPEN practical and partially revised guideline: Clinical nutrition in the intensive care unit

Clin Nutr. 2023 Sep;42(9):1671-1689. doi: 10.1016/j.clnu.2023.07.011. Epub 2023 Jul 15.

Affiliations

¹ Intensive Care Unit, Herzlia Medical Center and Department of General Intensive Care and Institute for Nutrition Research, Rabin Medical Center, Beilinson Hospital, Sackler School of Medicine, Tel Aviv University, Tel Aviv, and Intensive Care Unit, Herzlia Medical Center, Israel. Electronic address: [email protected].
² Department of Anaesthesiology and Intensive Care, University of Tartu, Tartu, Estonia; Department of Intensive Care Medicine, Lucerne Cantonal Hospital, Lucerne, Switzerland.
³ Faculty of Biology and Medicine, Lausanne University Hospital, Lausanne, Switzerland.
⁴ School of Human Development and Health, Faculty of Medicine, University of Southampton and NIHR Southampton Biomedical Research Centre, University Hospital Southampton NHS Foundation Trust and University of Southampton, Southampton, United Kingdom.
⁵ Clinical Department and Laboratory of Intensive Care Medicine, Catholic University Hospitals (UZLeuven) and Catholic University Leuven, Leuven, Belgium.
⁶ Division Cardiac-, Thoracic-, Vascular Anaesthesia and Intensive Care, Medical University Vienna, Vienna, Austria.
⁷ Department of Pneumonology, Infectious Diseases and Sleep Medicine, St. Vincentius Kliniken gAG, Karlsruhe, Germany.
⁸ Instituto de Investigación Sanitaria "imas12" Hospital Universitario 12 de Octubre, Madrid, Spain.
⁹ Department of Clinical Nutrition, Geneva University Hospital, Geneva, Switzerland.
¹⁰ Medical Direction, Hopital Universitaire de Bruxelles, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
¹¹ Centre for Intensive Care and Perioperative Medicine, Jagiellonian University Medical College & Anesthesia and Intensive Care Department, 5th Military Hospital, Krakow, Poland.
¹² Department of Intensive Care, Gelderse Vallei Hospital, Ede, The Netherlands & Wageningen University & Research, Wageningen, the Netherlands.
¹³ Department of Nutritional Medicine/Prevention, University of Hohenheim, Stuttgart, Germany.

PMID: 37517372
DOI: 10.1016/j.clnu.2023.07.011

Abstract

Following the new ESPEN Standard Operating Procedures, the previous 2019 guideline to provide best medical nutritional therapy to critically ill patients has been shortened and partially revised. Following this update, we propose this publication as a practical guideline based on the published scientific guideline, but shortened and illustrated by flow charts. The main goal of this practical guideline is to increase understanding and allow the practitioner to implement the Nutrition in the ICU guidelines. All the items discussed in the previous guidelines are included as well as special conditions.

Keywords: ESPEN; Enteral; Guidelines; Intensive care; Nutrition; Parenteral; Recommendations.

MeSH terms

Critical Illness / therapy
Humans
Intensive Care Units*
Nutritional Status
Parenteral Nutrition*