Energy Requirement in Critically Ill Patients
Keywords:
nutrition support, critically ill patient, energy requirementAbstract
Nutrition therapy is an essential part of treatment in all patients. Especially in critically ill patients, as they have a higher severity and complexity of illnesses. According to the intensity of systemic inflammatory response to injuries, this group of patients has different energy needs compared to general patients. To date, improper nutrition therapy relates to the increase of in-hospital complications, including higher morbidity and mortality. Therefore, targeting the right amount of energy at the right time to initiate nutrition therapy is very crucial for critically ill patients. This review article discusses the basic metabolism in patients with critical illnesses and the need for energy, with the goal of determining the amount of optimal energy. Moreover, the appropriate timing to establish nutrition support is also mentioned.
References
Singer P, Blaser AR, Berger MM, Alhazzani W, Calder PC, Casaer MP, et al. ESPEN guideline on clinical nutrition in the intensive care unit. Clin Nutr 2019;38:48-79.
Slone DS. Nutritional support of the critically ill and injured patient. Crit Care Clin 2004;20:135-57.
Tappy L, Schwarz JM, Schneiter P, Cayeux C, Revelly JP, Fagerquist CK, et al. Effects of isoenergetic glucose-based or lipid-based parenteral nutrition on glucose metabolism, de novo lipogenesis, and respiratory gas exchanges in critically ill patients. Crit Care Med 1998;26:860-7.
Elwyn DH, Saphar P, Singer P, Bursztein S. A mathematical analysis of indirect calorimetry measurements in acutely ill patients. Am J Clin Nutr 1989;50:227-30.
Ferrannini El. The theoretical bases of indirect calorimetry: a review. Metab Clin Exp 1988;37:287-301.
Haugen HA, Chan LN, Li F. Indirect calorimetry: a practical guide for clinicians. Nutr Clin Pract 2007;22:377-88.
Zusman O, Kagan I, Bendavid I, Theilla M, Cohen J, Singer P. Predictive equations versus measured energy expenditure by indirect calorimetry: A retrospective validation. Clin Nutr 2019;38(3):1206-10.
Tatucu-Babet OA, Ridley EJ, Tierney AC. Prevalence of underprescription or overprescription of energy needs in critically ill mechanically ventilated adults as determined by indirect calorimetry: a systematic literature review. JPEN J Parenter Enteral Nutr 2016;40:212-25.
McClave SA, Taylor BE, Martindale RG, Warren MM, Johnson DR, Braunschweig C, et al. Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.). JPEN J Parenter Enteral Nutr 2016;40:159-211.
Singer P, Anbar R, Cohen J, Shapiro H, Shalita-Chesner M, Lev S, et al. The tight calorie control study (TICACOS): a prospective, randomized, controlled pilot study of nutritional support in critically ill patients. Intensive Care Med 2011;37:601-9.
Oshima T, Berger MM, De Waele E, Guttormsen AB, Heidegger CP, Hiesmayr M, et al. Indirect calorimetry in nutritional therapy. A position paper by the ICALIC study group. Clin Nutr 2017;36:651-62.
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