Metabolic and nutritional support of critically ill patients: Consensus and controversies

Jean Charles Preiser; Arthur R.H. van Zanten; Mette M. Berger; Gianni Biolo; Michael P. Casaer; Gordon S. Doig; Richard D. Griffiths; Daren K. Heyland; Michael Hiesmayr; Gaetano Iapichino; Alessandro Laviano; Claude Pichard; Pierre Singer; Greet Van den Berghe; Jan Wernerman; Paul Wischmeyer; Jean Louis Vincent

doi:10.1186/s13054-015-0737-8

Metabolic and nutritional support of critically ill patients: Consensus and controversies

Jean Charles Preiser, Arthur R.H. van Zanten, Mette M. Berger, Gianni Biolo, Michael P. Casaer, Gordon S. Doig, Richard D. Griffiths, Daren K. Heyland, Michael Hiesmayr, Gaetano Iapichino, Alessandro Laviano, Claude Pichard, Pierre Singer, Greet Van den Berghe, Jan Wernerman, Paul Wischmeyer, Jean Louis Vincent

Research output: Contribution to journal › Article › peer-review

Abstract

The results of recent large-scale clinical trials have led us to review our understanding of the metabolic response to stress and the most appropriate means of managing nutrition in critically ill patients. This review presents an update in this field, identifying and discussing a number of areas for which consensus has been reached and others where controversy remains and presenting areas for future research. We discuss optimal calorie and protein intake, the incidence and management of re-feeding syndrome, the role of gastric residual volume monitoring, the place of supplemental parenteral nutrition when enteral feeding is deemed insufficient, the role of indirect calorimetry, and potential indications for several pharmaconutrients.

Original language	English
Article number	35
Journal	Critical Care
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s13054-015-0737-8
State	Published - 29 Jan 2015
Externally published	Yes

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Preiser, J. C., van Zanten, A. R. H., Berger, M. M., Biolo, G., Casaer, M. P., Doig, G. S., Griffiths, R. D., Heyland, D. K., Hiesmayr, M., Iapichino, G., Laviano, A., Pichard, C., Singer, P., Van den Berghe, G., Wernerman, J., Wischmeyer, P., & Vincent, J. L. (2015). Metabolic and nutritional support of critically ill patients: Consensus and controversies. Critical Care, 19(1), [35]. https://doi.org/10.1186/s13054-015-0737-8

Preiser, Jean Charles ; van Zanten, Arthur R.H. ; Berger, Mette M. ; Biolo, Gianni ; Casaer, Michael P. ; Doig, Gordon S. ; Griffiths, Richard D. ; Heyland, Daren K. ; Hiesmayr, Michael ; Iapichino, Gaetano ; Laviano, Alessandro ; Pichard, Claude ; Singer, Pierre ; Van den Berghe, Greet ; Wernerman, Jan ; Wischmeyer, Paul ; Vincent, Jean Louis. / Metabolic and nutritional support of critically ill patients : Consensus and controversies. In: Critical Care. 2015 ; Vol. 19, No. 1.

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title = "Metabolic and nutritional support of critically ill patients: Consensus and controversies",

abstract = "The results of recent large-scale clinical trials have led us to review our understanding of the metabolic response to stress and the most appropriate means of managing nutrition in critically ill patients. This review presents an update in this field, identifying and discussing a number of areas for which consensus has been reached and others where controversy remains and presenting areas for future research. We discuss optimal calorie and protein intake, the incidence and management of re-feeding syndrome, the role of gastric residual volume monitoring, the place of supplemental parenteral nutrition when enteral feeding is deemed insufficient, the role of indirect calorimetry, and potential indications for several pharmaconutrients.",

author = "Preiser, {Jean Charles} and {van Zanten}, {Arthur R.H.} and Berger, {Mette M.} and Gianni Biolo and Casaer, {Michael P.} and Doig, {Gordon S.} and Griffiths, {Richard D.} and Heyland, {Daren K.} and Michael Hiesmayr and Gaetano Iapichino and Alessandro Laviano and Claude Pichard and Pierre Singer and {Van den Berghe}, Greet and Jan Wernerman and Paul Wischmeyer and Vincent, {Jean Louis}",

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year = "2015",

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day = "29",

doi = "10.1186/s13054-015-0737-8",

language = "אנגלית",

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Preiser, JC, van Zanten, ARH, Berger, MM, Biolo, G, Casaer, MP, Doig, GS, Griffiths, RD, Heyland, DK, Hiesmayr, M, Iapichino, G, Laviano, A, Pichard, C, Singer, P, Van den Berghe, G, Wernerman, J, Wischmeyer, P & Vincent, JL 2015, 'Metabolic and nutritional support of critically ill patients: Consensus and controversies', Critical Care, vol. 19, no. 1, 35. https://doi.org/10.1186/s13054-015-0737-8

Metabolic and nutritional support of critically ill patients : Consensus and controversies. / Preiser, Jean Charles; van Zanten, Arthur R.H.; Berger, Mette M.; Biolo, Gianni; Casaer, Michael P.; Doig, Gordon S.; Griffiths, Richard D.; Heyland, Daren K.; Hiesmayr, Michael; Iapichino, Gaetano; Laviano, Alessandro; Pichard, Claude; Singer, Pierre; Van den Berghe, Greet; Wernerman, Jan; Wischmeyer, Paul; Vincent, Jean Louis.

In: Critical Care, Vol. 19, No. 1, 35, 29.01.2015.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Metabolic and nutritional support of critically ill patients

T2 - Consensus and controversies

AU - Preiser, Jean Charles

AU - van Zanten, Arthur R.H.

AU - Berger, Mette M.

AU - Biolo, Gianni

AU - Casaer, Michael P.

AU - Doig, Gordon S.

AU - Griffiths, Richard D.

AU - Heyland, Daren K.

AU - Hiesmayr, Michael

AU - Iapichino, Gaetano

AU - Laviano, Alessandro

AU - Pichard, Claude

AU - Singer, Pierre

AU - Van den Berghe, Greet

AU - Wernerman, Jan

AU - Wischmeyer, Paul

AU - Vincent, Jean Louis

PY - 2015/1/29

Y1 - 2015/1/29

N2 - The results of recent large-scale clinical trials have led us to review our understanding of the metabolic response to stress and the most appropriate means of managing nutrition in critically ill patients. This review presents an update in this field, identifying and discussing a number of areas for which consensus has been reached and others where controversy remains and presenting areas for future research. We discuss optimal calorie and protein intake, the incidence and management of re-feeding syndrome, the role of gastric residual volume monitoring, the place of supplemental parenteral nutrition when enteral feeding is deemed insufficient, the role of indirect calorimetry, and potential indications for several pharmaconutrients.

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Metabolic and nutritional support of critically ill patients: Consensus and controversies

Abstract

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