Initial efficacy and tolerability of early enteral nutrition with immediate or gradual introduction in intubated patients

Desachy, Arnaud; Clavel, M.; Vuagnat, Albert; Normand, Sandrine; Gissot, Valérie; Dalmay, François

doi:10.1007/s00134-007-0983-6

Cited by 100 publications

(96 citation statements)

References 14 publications

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“…Six RCTs317, 318, 319, 320, 321, 322 included in the systematic review of the JSICM guidelines were extracted. All six RCTs reported on mortality rate, three reported on infection frequency, two RCTs reported on the duration of ventilation, the length of ICU stay, and length of hospital stay; four RCTs reported on ventilator‐associated pneumonia (VAP), and two RCTs reported on the frequency of continuous renal replacement therapy (CRRT) use.…”

Section: Cq13: Nutritionmentioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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Background and PurposeThe Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016), a Japanese‐specific set of clinical practice guidelines for sepsis and septic shock created jointly by the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine, was first released in February 2017 in Japanese. An English‐language version of these guidelines was created based on the contents of the original Japanese‐language version.MethodsMembers of the Japanese Society of Intensive Care Medicine and the Japanese Association for Acute Medicine were selected and organized into 19 committee members and 52 working group members. The guidelines were prepared in accordance with the Medical Information Network Distribution Service (Minds) creation procedures. The Academic Guidelines Promotion Team was organized to oversee and provide academic support to the respective activities allocated to each Guideline Creation Team. To improve quality assurance and workflow transparency, a mutual peer review system was established, and discussions within each team were open to the public. Public comments were collected once after the initial formulation of a clinical question (CQ), and twice during the review of the final draft. Recommendations were determined to have been adopted after obtaining support from a two‐thirds (>66.6%) majority vote of each of the 19 committee members.ResultsA total of 87 CQs were selected among 19 clinical areas, including pediatric topics and several other important areas not covered in the first edition of the Japanese guidelines (J‐SSCG 2012). The approval rate obtained through committee voting, in addition to ratings of the strengths of the recommendation and its supporting evidence were also added to each recommendation statement. We conducted meta‐analyses for 29 CQs. Thirty seven CQs contained recommendations in the form of an expert consensus due to insufficient evidence. No recommendations were provided for 5 CQs.ConclusionsBased on the evidence gathered, we were able to formulate Japanese‐specific clinical practice guidelines that are tailored to the Japanese context in a highly transparent manner. These guidelines can easily be used not only by specialists, but also by non‐specialists, general clinicians, nurses, pharmacists, clinical engineers, and other healthcare professionals.

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Section: Cq13: Nutritionmentioning

confidence: 99%

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016)

Nishida

Ogura

Egi

et al. 2018

Acute Medicine & Surgery

157

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“…Through database searching, we identified 901 studies, and through other sources three more studies were added. For full text examination we selected 25 studies (see data collection process) and after exclusions, five studies were included in the final qualitative and quantitative analysis (21)(22)(23)(24)(25). The characteristics of the studies included are presented in table I, while those related to nutritional strategy are shown in table II.…”

Section: Literature Search and Study Selectionmentioning

confidence: 99%

“…Mean BMI was not different between underfeeding and full-feeding groups for all studies, ranging from 25.0 to 30.4 kg/m². Four studies reported the admission category, with samples mainly composed of medical patients (average of 72%) (21,22,24,25). Although studies have used different scores to assess severity, there were no differences between underfeeding and full-feeding groups for all studies.…”

Section: Literature Search and Study Selectionmentioning

confidence: 99%

“…Although studies have used different scores to assess severity, there were no differences between underfeeding and full-feeding groups for all studies. Among five trials included in this meta-analysis, three (21,23,24) used as inclusion criteria the expectation to require MV for ≥ 72 hours, so all patients were on MV. Despite MV having not been considered as an inclusion criteria in two studies, 99% and 97% of patients were on MV respectively (22,25).…”

Section: Literature Search and Study Selectionmentioning

confidence: 99%

See 1 more Smart Citation

Underfeeding versus full enteral feeding in critically ill patients with acute respiratory failure: a systematic review with meta-analysis of randomized controlled trials

Franzosi¹,

Frankenberg²,

Loss³

et al. 2017

Nutr Hosp

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Franzosi OS, Von Frankenberg AD, Loss SH, Nunes DSL, Vieira SR. Underfeeding versus full enteral feeding in critically ill patients with acute respiratory failure: a systematic review with meta-analysis of randomized controlled trials. Resumen Introducción: a pesar de las directrices que hacen hincapié en que la cantidad de la Nutrición Enteral (NE) administrada debe estar próxima a las necesidades del paciente, los estudios prospectivos cuestionan esta estrategia.Objetivo: comparar el efecto de dos estrategias de NE (subalimentación vs. alimentación completa) sobre la mortalidad en la UCI y general (mortalidad hospitalaria o la mortalidad en 60 días), el tiempo de internación en la UCI y en el hospital, duración de la ventilación mecánica (VM), complicaciones infecciosas y la tolerancia gastrointestinal en pacientes críticos.Métodos: metaanálisis de efectos aleatorios de ensayos clínicos aleatorizados (ECA). Nuestra búsqueda se basa en MEDLINE, EMBASE, SCOPUS y CENTRAL hasta mayo de 2015. La subalimentación fue asignada a dos grupos diferentes de acuerdo con el nivel de consumo de energía (alimentación moderada 46-72% y la alimentación trófi ca 16-25%) para el análisis de subgrupos.Resultados: se incluyeron cinco ECA entre los 904 estudios que se encontraron en la búsqueda (n = 2.432 pacientes). No se encontraron diferencias en la mortalidad general cuando se combinaron los cinco estudios. En el análisis de subgrupos, la alimentación moderada (tres estudios) mostró una mortalidad más baja en comparación con la alimentación completa (RR 0,82; IC 95% 0,68-0,98; I 2 0% p = 0,59 para la heterogeneidad). No se encontraron diferencias de mortalidad en la UCI ni en el tiempo de internación hospitalaria, la duración de la VM y las complicaciones infecciosas. La subalimentación mostró menor aparición de signos y síntomas gastrointestinales, excepto para aspiración y distensión abdominal (no se encontró ninguna diferencia).Conclusiones: este metaanálisis no encontró diferencias signifi cativas de mortalidad, duración de la estancia, duración de VM ni complicaciones infecciosas en la UCI o hospitalización total entre los grupos de subalimentación y alimentación completa. El análisis de subgrupos mostró menor mortalidad global entre los pacientes que recibieron la subalimentación moderada. Este resultado debe interpretarse con cautela debido a las limitaciones del pequeño número de estudios analizados y su metodología. Key words:Enteral nutrition. Critical care. Mortality. Artifi cial respiration. Digestive signs and symptoms. AbstractIntroduction: Although guidelines emphasize that the provision of enteral nutrition (EN) should be as close as the patient's needs, prospective studies question this strategy.

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“…Nonetheless, ENT may cause gastrointestinal intolerance, increasing the time to reach the target and thus causing protein-calorie deficit during the first week of ICU stay 38 . This can lead to infections, increased duration of mechanical ventilation and of ICU stay, and pressure ulcers 39,40 .…”

Section: Immunonutrition In Traumamentioning

confidence: 99%

Terapia nutricional precoce no trauma: após o A, B, C, D, E, a importância do F (FEED)

Bicudo-Salomão

Moura

Aguilar-Nascimento

2013

Rev. Col. Bras. Cir.

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Um número significativo de mortes no trauma ocorre dias a semanas após a injúria inicial, sendo causado por infecções e insuficiência orgânica, relacionadas a hipercatabolismo e consequente desnutrição proteica aguda. A terapia nutricional deve ser planejada e incluída com as demais condutas de reanimação para pacientes politraumatizados e grandes queimados. A rápida aquisição de uma via para suporte nutricional é importante para inicio da terapia nutricional precoce em até 48 horas do atendimento. A via enteral é a opção preferencial no pós-operatório de pacientes traumatizado mas a via parenteral deve ser prescrita quando a enteral está contraindicada ou insuficiente. Após as medidas iniciais ditadas pelo ATLS, sintetizadas em A (air), B (breath), C (circulation), D (disability) e E (exposure), nós incluímos a letra F (feed) para enfatizar a importância do atendimento nutricional precoce no trauma.

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Initial efficacy and tolerability of early enteral nutrition with immediate or gradual introduction in intubated patients

Cited by 100 publications

References 14 publications

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016)

The Japanese Clinical Practice Guidelines for Management of Sepsis and Septic Shock 2016 (J‐SSCG 2016)

Underfeeding versus full enteral feeding in critically ill patients with acute respiratory failure: a systematic review with meta-analysis of randomized controlled trials

Terapia nutricional precoce no trauma: após o A, B, C, D, E, a importância do F (FEED)

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