Editorial on “enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)”

Singer, Pierre; Rattanachaiwong, Sornwichate

doi:10.21037/jtd.2018.04.23

Cited by 5 publications

(4 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study, hemodynamic failure was a risk factor of the non-application of both the 2014 and 2017 guidelines, as described in pediatric (WHO guidelines 1985, n = 84) ( 12 ) and adult ( n = 2,410) patients ( 19 ). According to these studies, the definition of hemodynamic failure varies: vasopressor agents used, scoring system, or the lactate level increased ( 12 , 20 ).…”

Section: Discussionmentioning

confidence: 68%

Are Nutritional Guidelines Followed in the Pediatric Intensive Care Unit?

Jouancastay

Guillot

Machuron³

et al. 2021

Front. Pediatr.

View full text Add to dashboard Cite

Background: French (2014) and American (2017) pediatric guidelines recommend starting enteral nutrition (EN) early in pediatric intensive care. The aims of this study were to compare the applicability of the guidelines in the pediatric intensive care unit (PICU) and to identify risk factors of non-application of the guidelines.Methods: This retrospective, single-center study was conducted in a medical–surgical PICU between 2014 and 2016. All patients from 1 month to 18 years old with a length of stay >48 h and an exclusive EN at least 1 day during the PICU stay were included. The outcome variable was application of the 2014 and 2017 guidelines, defined by energy intakes ≥90% of the recommended intake at least 1 day as defined by both guidelines. The risk factors of non-application were studied comparing “optimal EN” vs. “non-optimal EN” groups for both guidelines.Results: In total, 416 children were included (mortality rate, 8%). Malnutrition occurred in 36% of cases. The mean energy intake was 34 ± 30.3 kcal kg−1 day−1. The 2014 and 2017 guidelines were applied in 183 (44%) and 296 (71%) patients, respectively (p < 0.05). Following the 2017 guidelines, enteral energy intakes were considered as “satisfactory enteral intake” for 335 patients (81%). Hemodynamic failure was a risk factor of the non-application of both guidelines.Conclusion: In our PICU, the received energy intake approached the level of intake recommended by the American 2017 guidelines, which used the predictive Schofield equations and seem more useful and applicable than the higher recommendations of the 2014 guidelines. Multicenter studies to validate the pediatric guidelines seem necessary.

show abstract

Section: Discussionmentioning

confidence: 68%

Are Nutritional Guidelines Followed in the Pediatric Intensive Care Unit?

Jouancastay

Guillot

Machuron³

et al. 2021

Front. Pediatr.

View full text Add to dashboard Cite

show abstract

“…In general, the use of EN as compared to PN resulted in a much lower rate of infectious complications and a shorter length of duration remained in the ICU [20]. On the other hand, the incidence of gastrointestinal complications such as vomiting, and diarrhea was found to be much higher in the EN group than in the PN group [21].…”

Section: Resultsmentioning

confidence: 90%

Yoğun Bakım Ünitesi Hastalarının Nütrisyonel İhtiyaçlarının Klinik Eczacılar Tarafından Değerlendirilmesi

ÇAKIR,

MEMİŞ,

GÜN

2023

HUJPHARM

View full text Add to dashboard Cite

Malnutrition in intensive care unit (ICU) patients affects disease progression and prolongs hospital stays. In this study, it was aimed to present the recommendations of clinical pharmacists in terms of nutrition in ICU patients. This study was conducted in the ICU between November 2022 and January 2023. Clinical pharmacists provided nutritional advice to patients according to current guidelines. Basal energy expenditure was calculated using the Harris-Benedict formula, and the most appropriate nutritional product was selected for the patients. Descriptive analyses were performed with SPSS v27.0. According to the reasons, the recommendation rates were categorized as feeding started (9,86%), feeding stopped (1,41%), feeding dose increased-reduced (28,17%), protein amount increased-reduced (35,21%), management of nutritional side effects (15,49%), and changes in administration (9,86%). Enema (54.54%) for constipation, prokinetic metoclopramide (36.36%), and discontinuation of parenteral nutrition due to hyperglycemia (9.09%) were recommended for the management of nutrition-related side effects. Examples of suggestions and explanations made regarding the nutritional status of the patients were given. In this study, recommendations were made for most ICU patients to eat more calories and protein. To avoid adverse effects, patients reached their calorie targets gradually. Clinical pharmacists can work with other healthcare professionals to prevent malnutrition-related problems.

show abstract

“…Es importante destacar que el uso de estas formulaciones nutricionales enterales artesanales está destinado a ser implementado bajo la supervisión y control estricto en hospitales y otros entornos clínicos. Se requiere la supervisión profesional para garantizar una administración adecuada y segura de los alimentos propuestos, así como para ajustar las cantidades y la composición nutricional según el diagnóstico y las necesidades específicas de cada paciente (REIGNIER et al, 2018).En resumen, este trabajo tiene como objetivo presentar una propuesta científica y práctica para el desarrollo de formulaciones nutricionales enterales artesanales para su aplicación a través de una sonda nasogástrica en pacientes con dificultad para deglutir (REIGNIER et al, 2013). Estas formulaciones se basan en la evidencia científica disponible y se adaptan a diferentes volúmenes, permitiendo a los profesionales de la salud personalizar la alimentación de acuerdo con las necesidades individuales de cada paciente.…”

Section: Introduccionunclassified

Ciências da Saúde: desafios e potencialidades em pesquisa - Volume 3

2022

View full text Add to dashboard Cite

Esta obra constituiu-se a partir de um processo colaborativo entre professores, estudantes e pesquisadores que se destacaram e qualificaram as discussões neste espaço formativo. Resulta, também, de movimentos interinstitucionais e de ações de incentivo à pesquisa que congregam pesquisadores das mais diversas áreas do conhecimento e de diferentes Instituições de Educação Superior públicas e privadas de abrangência nacional e internacional. Tem como objetivo integrar ações interinstitucionais nacionais e internacionais com redes de pesquisa que tenham a finalidade de fomentar a formação continuada dos profissionais da educação, por meio da produção e socialização de conhecimentos das diversas áreas do Saberes. Agradecemos aos autores pelo empenho, disponibilidade e dedicação para o desenvolvimento e conclusão dessa obra. Esperamos também que esta obra sirva de instrumento didático-pedagógico para estudantes, professores dos diversos níveis de ensino em seus trabalhos e demais interessados pela temática.

show abstract

Editorial on “enteral versus parenteral early nutrition in ventilated adults with shock: a randomised, controlled, multicentre, open-label, parallel-group study (NUTRIREA-2)”

Cited by 5 publications

References 24 publications

Are Nutritional Guidelines Followed in the Pediatric Intensive Care Unit?

Are Nutritional Guidelines Followed in the Pediatric Intensive Care Unit?

Yoğun Bakım Ünitesi Hastalarının Nütrisyonel İhtiyaçlarının Klinik Eczacılar Tarafından Değerlendirilmesi

Ciências da Saúde: desafios e potencialidades em pesquisa - Volume 3

Contact Info

Product

Resources

About