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Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines
Intensive Care Medicine · 2017 · Vol. 43(3) · pp. 380–398
ESICM Working Group on Gastrointestinal Function✉(University of Tartu)Annika Reintam Blaser(University of Lucerne)Joel Starkopf(Tartu University Hospital)Waleed Alhazzani(University of Lausanne)Mette M. Berger(University of Lausanne)Michaël P. Casaer(The University of Adelaide)Adam M. Deane(Medical University of Graz)Sonja Fruhwald(Medical University of Graz)M. Hiesmayr(Hôpital Pasteur)Carole Ichaï(University of Bern)Stephan M. Jakob(University of Bern)Cecilia Loudet(National University of General San Martín)Manu L. N. G. Malbrain(Hospital Universitario 12 De Octubre)Juan Carlos Montejo González(Hôpital Beaujon)Cathérine Paugam‐Burtz(Hôpital Beaujon)Martijn Poeze(Université Libre de Bruxelles)Jean‐Charles Preiser(Université Libre de Bruxelles)Pierre Singer(Tel Aviv University)Arthur R. H. van Zanten(Ghent University Hospital)Jan J. De Waele(King's College London)Julia Wendon(Karolinska University Hospital)Jan Wernerman(Karolinska University Hospital)Tony Whitehouse(Queen Elizabeth Hospital Birmingham)Alexander Wilmer(Amsterdam UMC Location Vrije Universiteit Amsterdam)Heleen M. Oudemans–van Straaten(Amsterdam UMC Location Vrije Universiteit Amsterdam)
Abstract
We suggest using EEN in the majority of critically ill under certain precautions. In the absence of evidence, we suggest delaying EN in critically ill patients with uncontrolled shock, uncontrolled hypoxaemia and acidosis, uncontrolled upper GI bleeding, gastric aspirate >500 ml/6 h, bowel ischaemia, bowel obstruction, abdominal compartment syndrome, and high-output fistula without distal feeding access.
Clinical Nutrition and GastroenterologyAbdominal Surgery and ComplicationsNutrition and Health in AgingMedicineCritically illIntensive care medicinePain medicineAnesthesiologyParenteral nutritionClinical nutritionClinical PracticeEnteral administrationCritical illness
MeSH terms
Enteral NutritionHumansTime FactorsCohort StudiesRandomized Controlled Trials as TopicCritical IllnessEvidence-Based Medicine
Funding
- Haukeland Universitetssjukehus
- European Society of Intensive Care Medicine
Citations
791
FWCI
44.75
field-weighted impact
References
78
Percentile
100%
vs. same field & year
Citations per year
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References
Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
Intensive Care Medicine · 2013 · 1,554 citations
Gastrointestinal function in intensive care patients: terminology, definitions and management. Recommendations of the ESICM Working Group on Abdominal Problems
Intensive Care Medicine · 2012 · 606 citations
Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient
Critical Care Medicine · 2016 · 1,448 citations
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