Nutrition in intensive care in adults review of the literature and development of evidence based feeding protocols

Sarah Ikram; Erfan Hussain; Ali Bin Sarwar Zubairi

Nutrition in intensive care in adults review of the literature and development of evidence based feeding protocols

J Pak Med Assoc. 2016 Sep;66(9):1154-1164.

Authors

Sarah Ikram¹, Erfan Hussain², Ali Bin Sarwar Zubairi³

Affiliations

¹ Clinical Dietitian Intensive Care Unit, Department of Nutrition and Food Services, Karachi.
² Adult Critical Care Services, Section of Pulmonary and Critical Care Medicine, Department of Medicine, Karachi.
³ Pulmonary and Critical Care Medicine, Department of Medicine, Aga Khan University Hospital, Karachi.

PMID: 27654738

Abstract

The subject of nutrition in intensive care is broad.Thenutrition support therapy plays a crucial role in the management of critically ill patients. This review was carried out to address the existing controversies and to recognise the current practice guidelines for the management of nutrition in intensive care units (ICUs) in adults. A PubMed search was carried out for clinical trials addressing the current nutrition practice in ICUs, recommendations for calculating energy requirements and efficacy of an algorithmic approach to nutritional delivery in an ICU setting. Algorithms were developed and modified for the practice of nutrition in an adult ICU in a quaternary care hospital in Pakistan.

Keywords: Intensive care unit, Enteral nutrition, Parenteral nutrition, Ideal body weight, Body mass index, Gastric residual volume..

Publication types

Review

MeSH terms

Adult
Critical Care*
Critical Illness
Enteral Nutrition*
Humans
Intensive Care Units*
Nutritional Status
Pakistan