Nutritrauma: A Key Concept for Minimising the Harmful Effects of the Administration of Medical Nutrition Therapy

Nutrients. 2019 Aug 1;11(8):1775. doi: 10.3390/nu11081775.

Abstract

Critically ill patients often require life support measures such as mechanical ventilation or haemodialysis. Despite the essential role of nutrition in patients' recovery, the inappropriate use of medical nutrition therapy can have deleterious effects, as is the case with the use of respiratory, circulatory, or renal support. To increase awareness and to monitor the effects of inappropriate medical nutrition therapy, we propose to introduce the concept of nutritrauma in clinical practice, defined as metabolic adverse events related to the inappropriate administration of medical nutrition therapy or inadequate nutritional monitoring.

Keywords: critical care; enteral nutrition; iatrogenesis; medical nutrition therapy; nutritional support; parenteral nutrition.

MeSH terms

  • Critical Illness / therapy*
  • Humans
  • Iatrogenic Disease*
  • Nutritional Support / adverse effects*
  • Risk Assessment
  • Risk Factors
  • Terminology as Topic*