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Published on: April 12, 2011
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Practice Guidelines for Nutrition in Critically Ill Patients: A Relook for Indian Scenario
Yatin Mehta1, J D Sunavala2, Kapil Zirpe3
1Department of Critical Care, Institute of Critical Care and Anesthesiology, Medanta the Medicity, Gurugram, Haryana, India.
Summary
This study developed practice guidelines for enteral nutrition (EN) in critically ill Indian patients, addressing challenges and optimizing nutrition delivery. These guidelines aim to improve intensive care unit (ICU) nutrition protocols.
Area of Science:
- Critical Care Medicine
- Clinical Nutrition
- Evidence-Based Practice
Background:
- International enteral nutrition (EN) guidelines exist, but lack specificity for Indian intensive care settings.
- Advisory board meetings convened to address unique challenges in Indian critical care nutrition.
- Need for context-specific recommendations for EN in critically ill Indian patients.
Purpose of the Study:
- To develop practice guidelines for enteral nutrition (EN) tailored to the Indian critical care context.
- To address and overcome challenges associated with EN delivery in critically ill patients in India.
- To establish standardized nutrition protocols for Indian Intensive Care Units (ICUs).
Main Methods:
- Systematic review of existing guidelines, meta-analyses, and clinical trials.
- Advisory board graded practice guidelines based on evidence strength.
- Incorporation of international guidelines where Indian-specific data was unavailable.
Main Results:
- Recommendations formulated for EN versus parenteral nutrition decisions.
- Guidelines cover nutrition screening, assessment, and delivery in hemodynamically unstable patients.
- Addresses challenges in tube feeding, formula selection, tolerance, and specific disease states (hepatic, renal, respiratory).
Conclusions:
- Summarizes optimal nutrition practices for critically ill patients in India.
- Presents practical solutions and guidelines to overcome EN challenges.
- Aims to guide critical care settings in implementing appropriate nutrition practices and ICU nutrition protocols.
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