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Clinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients?

dc.contributor.authorBerger, Mette M.
dc.contributor.authorBurgos, Rosa
dc.contributor.authorCasaer, Michael P.
dc.contributor.authorDe Robertis, Edoardo
dc.contributor.authorDelgado, Juan Carlos Lopez
dc.contributor.authorFraipont, Vincent
dc.contributor.authorGonçalves-Pereira, João
dc.contributor.authorPichard, Claude
dc.contributor.authorStoppe, Christian
dc.date.accessioned2023-05-28T10:54:00Z
dc.date.available2023-05-28T10:54:00Z
dc.date.issued2022-09-10
dc.description.abstractA multidisciplinary group of international physicians involved in the medical nutrition therapy (MNT) of adult critically ill patients met to discuss the value, role, and open questions regarding supplemental parenteral nutrition (SPN) along with oral or enteral nutrition (EN), particularly in the intensive care unit (ICU) setting. This manuscript summarizes the discussions and results to highlight the importance of SPN as part of a comprehensive approach to MNT in critically ill adults and for researchers to generate new evidence based on well-powered randomized controlled trials (RCTs). The experts agreed on several key points: SPN has shown clinical benefts, resulting in this strategy being included in American and European guidelines. Nevertheless, its use is heterogeneous across European countries, due to the persistence of uncertainties, such as the optimal timing and the risk of overfeeding in absence of indirect calorimetry (IC), which results in divergent opinions and barriers to SPN implementation. Education is also insufcient. The experts agreed on actions needed to increase evidence quality on SPN use in specifc patients at a given time point during acute critical illness or recovery.pt_PT
dc.description.sponsorshipMPC receives funding from the Research Foundation Flanders (FWO) (Grant No. 1832817N) and Onderzoeksraad, KU Leuven (Grant No. C24/17/070) and from the Private Charity Organization “Help Brandwonden Kids.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.1186/s13054-022-04157-zpt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/44917
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectClinical nutritionpt_PT
dc.subjectCritically illpt_PT
dc.subjectIntensive care unitpt_PT
dc.subjectNutrition carept_PT
dc.subjectSupplemental parenteral nutritionpt_PT
dc.titleClinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients?pt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1pt_PT
oaire.citation.titleCritical Carept_PT
oaire.citation.volume26pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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