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Review
. 2024 Oct;39(5):1055-1068.
doi: 10.1002/ncp.11188. Epub 2024 Jul 30.

Applying the 2022 ASPEN adult nutrition support guidelines in a 2024 ICU

Sarah V Cogle  1 , Madeleine Hallum  2 , Diana W Mulherin  1
Affiliations
Review

Applying the 2022 ASPEN adult nutrition support guidelines in a 2024 ICU

Sarah V Cogle et al. Nutr Clin Pract. 2024 Oct.

Abstract

An update to the American Society for Parenteral and Enteral Nutrition guidelines for nutrition provision in critically ill adults was published in 2022. In contrast to the previous set of guidelines published in 2016, the revised guidelines selected only studies meeting specific criteria for scientific rigor and only considered publications reflecting more modern intensive care unit (ICU) practices (studies between January 1, 2001, and July 15, 2020). No consensus recommendations were included. Although these methods limited the number of recommendations made and the applicability to current ICU practices, important implications for patient care were evaluated and acknowledged. The literature supporting guideline recommendations that impact parenteral nutrition management is summarized in this review, along with key studies published after the guidelines were revised. Considerations for practical application of this evidence, along with limitations and future guideline directions, are also described.

Keywords: critically ill patients; enteral nutrition; nutrition support; parenteral nutrition.

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References

REFERENCES

    1. McCleary EJ, Tajchman S. Parenteral nutrition and infection risk in the intensive care unit: a practical guide for the bedside clinician. Nutr Clin Pract. 2016;31(4):476‐489. doi:10.1177/0884533616653808
    1. Compher C, Bingham AL, McCall M, et al. Guidelines for the provision of nutrition support therapy in the adult critically ill patient: the American society for parenteral and enteral nutrition. JPEN J Parenter Enteral Nutr. 2022;46(1):12‐41. doi:10.1002/jpen.2267
    1. McClave SA, Taylor BE, Martindale RG, 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(2):159‐211. doi:10.1177/0148607115621863
    1. Heyland DK, Patel J, Compher C, et al. The effect of higher protein dosing in critically ill patients with high nutritional risk (EFFORT protein): an international, multicentre, pragmatic, registry‐based randomised trial. Lancet. 2023;401(10376):568‐576. doi:10.1016/S0140-6736(22)02469-2
    1. Harvey SE, Parrott F, Harrison DA, et al. Trial of the route of early nutritional support in critically ill adults. N Engl J Med. 2014;371(18):1673‐1684. doi:10.1056/NEJMoa1409860

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