Marianna S Sioson1, Robert Martindale2, Anuja Abayadeera3, Nabil Abouchaleh4, Dita Aditianingsih5, Rungsun Bhurayanontachai6, Wei-Chin Chiou7, Naoki Higashibeppu8, Mohd Basri Mat Nor9, Emma Osland10, Jose Emmanuel Palo11, Nagarajan Ramakrishnan12, Medhat Shalabi13, Luu Ngan Tam14, Jonathan Jit Ern Tan15. 1. Section of Nutrition, Department of Medicine, The Medical City, Pasig, Metro Manila, Philippines. Electronic address: mrssioson@yahoo.com.ph. 2. Division of Gastrointestinal and General Surgery, Oregon Health and Sciences University, Portland, OR, USA. 3. Department of Surgery, Faculty of Medicine, University of Colombo, Colombo, Sri Lanka. 4. Section of Critical Care Medicine, Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia. 5. Emergency Intensive Care Unit, Cipto Mangunkusumo Hospital, Jakarta, Indonesia; Department of Anaesthesia and Intensive Care, University of Indonesia, Jakarta, Indonesia. 6. Division of Critical Care Medicine, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand. 7. Division of Surgical Critical Care, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan. 8. Department of Anesthesia and Critical Care, Kobe City Medical Center General Hospital, Kobe, Japan. 9. Kulliyyah of Medicine, International Islamic University Malaysia, Kuala Lumpur, Malaysia. 10. Department of Nutrition and Dietetics, Royal Brisbane Hospital, Brisbane, Australia. 11. Section of Adult Critical Care, Department of Medicine, The Medical City, Pasig, Metro Manila, Philippines. 12. Department of Critical Care Medicine, Apollo Hospitals, Chennai, India. 13. Anesthesiology and Intensive Care Department, Alzahra Hospital, Dubai, United Arab Emirates. 14. Clinical Nutrition Department, Cho Ray Hospital, Ho Chi Minh City, Viet Nam. 15. Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, Singapore, Singapore.
Abstract
BACKGROUND & AIMS: Guidance on managing the nutritional requirements of critically ill patients in the intensive care unit (ICU) has been issued by several international bodies. While these guidelines are consulted in ICUs across the Asia-Pacific and Middle East regions, there is little guidance available that is tailored to the unique healthcare environments and demographics across these regions. Furthermore, the lack of consistent data from randomized controlled clinical trials, reliance on expert consensus, and differing recommendations in international guidelines necessitate further expert guidance on regional best practice when providing nutrition therapy for critically ill patients in ICUs in Asia-Pacific and the Middle East. METHODS: The Asia-Pacific and Middle East Working Group on Nutrition in the ICU has identified major areas of uncertainty in clinical practice for healthcare professionals providing nutrition therapy in Asia-Pacific and the Middle East and developed a series of consensus statements to guide nutrition therapy in the ICU in these regions. RESULTS: Accordingly, consensus statements have been provided on nutrition risk assessment and parenteral and enteral feeding strategies in the ICU, monitoring adequacy of, and tolerance to, nutrition in the ICU and institutional processes for nutrition therapy in the ICU. Furthermore, the Working Group has noted areas requiring additional research, including the most appropriate use of hypocaloric feeding in the ICU. CONCLUSIONS: The objective of the Working Group in formulating these statements is to guide healthcare professionals in practicing appropriate clinical nutrition in the ICU, with a focus on improving quality of care, which will translate into improved patient outcomes.
BACKGROUND & AIMS: Guidance on managing the nutritional requirements of critically illpatients in the intensive care unit (ICU) has been issued by several international bodies. While these guidelines are consulted in ICUs across the Asia-Pacific and Middle East regions, there is little guidance available that is tailored to the unique healthcare environments and demographics across these regions. Furthermore, the lack of consistent data from randomized controlled clinical trials, reliance on expert consensus, and differing recommendations in international guidelines necessitate further expert guidance on regional best practice when providing nutrition therapy for critically illpatients in ICUs in Asia-Pacific and the Middle East. METHODS: The Asia-Pacific and Middle East Working Group on Nutrition in the ICU has identified major areas of uncertainty in clinical practice for healthcare professionals providing nutrition therapy in Asia-Pacific and the Middle East and developed a series of consensus statements to guide nutrition therapy in the ICU in these regions. RESULTS: Accordingly, consensus statements have been provided on nutrition risk assessment and parenteral and enteral feeding strategies in the ICU, monitoring adequacy of, and tolerance to, nutrition in the ICU and institutional processes for nutrition therapy in the ICU. Furthermore, the Working Group has noted areas requiring additional research, including the most appropriate use of hypocaloric feeding in the ICU. CONCLUSIONS: The objective of the Working Group in formulating these statements is to guide healthcare professionals in practicing appropriate clinical nutrition in the ICU, with a focus on improving quality of care, which will translate into improved patient outcomes.
Authors: Arthur R H van Zanten; Laurent Petit; Jan De Waele; Hans Kieft; Janneke de Wilde; Peter van Horssen; Marianne Klebach; Zandrie Hofman Journal: Crit Care Date: 2018-06-12 Impact factor: 9.097
Authors: Zheng-Yii Lee; Cindy Sing Ling Yap; M Shahnaz Hasan; Julia Patrick Engkasan; Mohd Yusof Barakatun-Nisak; Andrew G Day; Jayshil J Patel; Daren K Heyland Journal: Crit Care Date: 2021-07-23 Impact factor: 9.097