TY - JOUR
T1 - Nutrition therapy for critically ill patients across the Asia–Pacific and Middle East regions
T2 - A consensus statement
AU - Sioson, Marianna S.
AU - Martindale, Robert
AU - Abayadeera, Anuja
AU - Abouchaleh, Nabil
AU - Aditianingsih, Dita
AU - Bhurayanontachai, Rungsun
AU - Chiou, Wei Chin
AU - Higashibeppu, Naoki
AU - Mat Nor, Mohd Basri
AU - Osland, Emma
AU - Palo, Jose Emmanuel
AU - Ramakrishnan, Nagarajan
AU - Shalabi, Medhat
AU - Tam, Luu Ngan
AU - Ern Tan, Jonathan Jit
N1 - Publisher Copyright:
© 2017 The Authors
PY - 2018/4
Y1 - 2018/4
N2 - 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.
AB - 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.
KW - Enteral nutrition
KW - Intensive care
KW - Parenteral nutrition
UR - http://www.scopus.com/inward/record.url?scp=85039866956&partnerID=8YFLogxK
U2 - 10.1016/j.clnesp.2017.11.008
DO - 10.1016/j.clnesp.2017.11.008
M3 - Article
AN - SCOPUS:85039866956
SN - 2405-4577
VL - 24
SP - 156
EP - 164
JO - Clinical Nutrition ESPEN
JF - Clinical Nutrition ESPEN
ER -