Department of Endocrinology-Diabetology-Nutrition, Home Parenteral Nutrition Centre, CHU Rennes, INRAE, INSERM, Univ Rennes, Nutrition Metabolisms and Cancer, NuMeCan, Rennes, France.
Department of Nutrition and Dietetics, Department of Critical Care, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Clin Nutr ESPEN. 2023 Oct;57:318-330. doi: 10.1016/j.clnesp.2023.06.033. Epub 2023 Jul 14.
Nutritional assessment and provision of nutritional therapy are a core part of intensive care unit (ICU) patient treatment. The ESPEN guideline on clinical nutrition in the ICU was published in 2019. However, uncertainty and difficulties remain regarding its full implementation in daily practice. This position paper is intended to help ICU healthcare professionals facilitate the implementation of ESPEN nutrition guidelines to ensure the best care for their patients. We have aimed to emphasize the guideline recommendations that need to be implemented in the ICU, are advised, or are optional, and to give practical directives to improve the guideline recommendations in daily practice. These statements were written by the members of the ICU nutrition ESPEN special interest group (SIG), based on a survey aimed at identifying current practices relating to key issues in ICU nutrition. The ultimate goal is to improve the ICU patients quality of care.
营养评估和营养治疗的提供是重症监护病房（ICU）患者治疗的核心部分。ESPEN 重症监护病房临床营养指南于 2019 年发布。然而，在日常实践中全面实施仍存在不确定性和困难。本立场文件旨在帮助 ICU 医护人员促进 ESPEN 营养指南的实施，以确保为患者提供最佳护理。我们旨在强调需要在 ICU 实施、建议或可选的指南建议，并提供实用指令以改善日常实践中的指南建议。这些陈述是由 ICU 营养 ESPEN 特别兴趣小组（SIG）的成员根据一项旨在确定与 ICU 营养关键问题相关的当前实践的调查编写的。最终目标是提高 ICU 患者的护理质量。
