Recommendations for specialized nutritional-metabolic treatment of the critical patient: Pharmaconutrients, specific nutrients, fiber, synbiotics. Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)

García-Arriaza, Juan; O’Connor, Enda; Aranaga, Fátima Martínez-Lozano; Goixart, L. Serviá

doi:10.1016/j.medine.2019.12.002

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…We introduced changes in the prescription of organ-specific diet in a 17,8% of patients (22). The SEMICYUC recommendations for specialized nutritional -metabolic management of the critical patient includes soluble and insoluble fiber diets to prevent complications such as diarrheal, constipation and tolerance to enteral nutrition (28). We detected a significant percentage of patients that were not receiving fiber-enriched diet, so the prescription of fiber-enriched diet was very common (10,7%).…”

Section: Discussionmentioning

confidence: 99%

Validation of Nutritrauma strategy for detection of harmful effects of medical nutritional treatment in critically ill patients in real life

Parisi¹,

Zurbano²,

Serra‐Prat³

et al. 2023

Preprint

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Aims: Medical Nutritional Treatment (MNT) can be complex and associated to potential meta-bolic complications, which has been recently described as Nutritrauma. There is no data on the effect of applying this strategy in clinical practice. The aim of our work is to describe if applica-tion of Nutritrauma concept in real live is useful to detect metabolic complications associated to the prescription of MNT in critically ill patients. Methods: In this descriptive prospective study at a single center, we enrolled 30 consecutive crit-ical ill patients of a 14 beds medical – surgical Intensive Care Unit. The Nutritrauma strategy implementation was based in four M steps: Metabolic screening, MNT prescription, Biochemical Monitoring and Nutritional Management. The primary endpoint was to describe the metabolic complications of the MNT detected with Nutritrauma strategy. Secondary endpoint was to de-scribe the most frequent causes of inappropriate prescription. Results: We analysed 28 patients (mean age 69,7 ± 11,3 years; APACHE II 18,1 ± 8,1, SOFA 7,5 ± 3,7; Nutric Score modified 4,3 ± 2,01 and mean BMI 27,2 ± 3,8). The most frequent disease on admission was sepsis (46,4%). Length of ICU stay was 20,6 ± 15,1 days and 39,3% died during the ICU stay. Enteral nutrition (82,1%) was more frequent than parenteral nutrition (17,9%). During nutritional monitoring 54 specific analytical determinations were made. Hyperglycemia was the most frequent metabolic alteration (83,3% of the determinations). Electrolyte disturbance were hypocalcemia (50%), hypophosphatemia (29,6%) and hypokalemia (27,8%). The most frequent lipid profile abnormality were hypocholesterolemia (64,8%) and hypertriglyceridemia (27,8%). Furthermore, nutritional prescription was modified in the 53,6% of patients: increase protein dosage (25%), increase caloric dosage (21,4%) and change to an organ-specific diet (17,8%). Conclusions: The application of Nutritrauma strategy facilitate the detection of metabolic com-plications and the evaluation of the appropiate prescription of the MNT.

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Section: Discussionmentioning

confidence: 99%

Validation of Nutritrauma strategy for detection of harmful effects of medical nutritional treatment in critically ill patients in real life

Parisi¹,

Zurbano²,

Serra‐Prat³

et al. 2023

Preprint

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The XI SENPE Jesús Culebras Lecture. Enteral nutrition in critically ill patients. History of an evolution

García-Arriaza¹

2021

Nutr Hosp

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Actualmente, la nutrición enteral forma parte de las medidas de tratamiento que se aplican a los pacientes críticos. Es una técnica que, procedente del antiguo Egipto, solo tuvo un rápido desarrollo desde principios del siglo XX hasta nuestros días. Los diferentes avances en este campo, relacionados con las indicaciones, la metodología de aplicación, la selección de las dietas, el manejo de las complicaciones, el seguimiento de la eficacia y el diseño y aplicación de los protocolos asistenciales, han permitido que la nutrición enteral pueda aplicarse con seguridad y eficacia a los pacientes críticos. A pesar de ello, quedan aún muchos aspectos por desarrollar con el fin de conseguir que los pacientes se beneficien de manera óptima del tratamiento con nutrición enteral.

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Validation of the nutritrauma concept for the detection of potential harmful effects of medical nutritional treatment in critically ill patients in real life

Yébenes,

Parisi,

Martínez de Lagran

et al. 2024

Nutr Hosp

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Recommendations for specialized nutritional-metabolic treatment of the critical patient: Pharmaconutrients, specific nutrients, fiber, synbiotics. Metabolism and Nutrition Working Group of the Spanish Society of Intensive and Critical Care Medicine and Coronary Units (SEMICYUC)

Cited by 3 publications

References 30 publications

Validation of Nutritrauma strategy for detection of harmful effects of medical nutritional treatment in critically ill patients in real life

Validation of Nutritrauma strategy for detection of harmful effects of medical nutritional treatment in critically ill patients in real life

The XI SENPE Jesús Culebras Lecture. Enteral nutrition in critically ill patients. History of an evolution

Validation of the nutritrauma concept for the detection of potential harmful effects of medical nutritional treatment in critically ill patients in real life

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