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Related Experiment Videos

ESPEN Guidelines on Enteral Nutrition: Intensive care.

K G Kreymann1, M M Berger, N E P Deutz

  • 1Department of Intensive Care Medicine, University Hospital Eppendorf, Hamburg, Germany. kreymann@uke.uni-hamburg.de

Clinical Nutrition (Edinburgh, Scotland)
|May 16, 2006
PubMed
Summary

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Enteral nutrition (EN) is crucial for critically ill patients, providing essential nutrients via tube feeding. Guidelines recommend early EN initiation with specific caloric targets to manage severe illness and organ failure.

Area of Science:

  • Critical Care Medicine
  • Nutritional Support
  • Intensive Care Unit (ICU) Management

Background:

  • Enteral nutrition (EN) via tube feeding is the primary method for feeding critically ill patients.
  • EN counteracts the catabolic state induced by severe diseases and inflammatory responses.
  • Guidelines address EN use in ICU patients with complicated courses, including organ failure.

Framework:

  • Developed by an interdisciplinary expert group based on evidence since 1985.
  • Recommendations established through a consensus conference following accepted standards.
  • Focuses on patients with severe inflammatory response and organ failure.

Implementation:

  • Initiate EN within 24 hours for ICU patients unable to maintain oral intake for three days.

Related Experiment Videos

  • Utilize standard high-protein formulas during the initial phase.
  • Avoid excessive energy supply (20-25 kcal/kg BW/day) in acute phases; aim for 25-30 kcal/kg BW/day during recovery.

    • Implications:

    • Supplementary parenteral nutrition is reserved for patients not meeting targets with EN alone.
    • No general indication for immune-modulating formulas in severe illness/sepsis (APACHE II >15).
    • Supplement glutamine for burn or trauma patients.