Critical Illness
Welcome to the Critical Illness Guideline and Systematic Review
The focus of the Critical Illness (2012) guideline is on the nutrition care of the critically ill adult patient who requires nutrition support. The goals of nutrition support in well-nourished and malnourished critically ill patients are to minimize physiologic deterioration and promote anabolism and recovery. Clinical judgment is crucial in the application of the guideline.
Evidence-Based Nutrition Practice Guideline
The EBNPG outlines the most current information on nutrition support practice in critically ill patients. Specific objectives of the guideline include:
- To define evidence-based recommendations for the provision of EN by registered dietitians (RDs) in collaboration with other healthcare providers
- To guide practice decisions that integrate medical and nutritional elements
- To reduce variations in practice among RDs
- To provide the RD with evidence-based practice recommendations to adjust the MNT or recommend other therapies to achieve positive outcomes
- To enhance the quality of life for the patient, utilizing customized strategies based on the individual's nutritional needs
- To promote optimal nutrition support within cost constraints of the healthcare environment.
Twenty-two (22) recommendations were developed in this guideline based upon a systematic review of the literature in multiple practice areas including blood glucose control, determination of resting metabolic rate, enteral nutrition energy delivery, enteral nutrition versus parenteral nutrition and more.
Use the links on the left to view the guideline and systematic review content. The complete guideline in PDF format can be downloaded from here. Expand the section below titled Critical Illness Project Team and Disclosure for information on the expert panel including disclosure of potential conflicts of interest.
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