Cover Image

Optimal nutritional therapy in critically ill patients: a narrative review

Inadequate nutrition delivery remains a pervasive issue in critically ill patients, with significant challenges in accurately measuring nutritional requirements and personalising nutrition. Current medical nutrition therapy is constrained by difficulty in objectively measuring nutritional requireme...

Full description

Saved in:
Bibliographic Details
Main Author: Mat Nor, Mohd Basri
Format: Article
Language:English
Published: Kugler Publications 2024
Subjects:
RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Online Access:http://irep.iium.edu.my/113033/2/113033_Optimal%20nutritional%20therapy%20in%20critically%20ill%20patients.pdf
http://irep.iium.edu.my/113033/
https://www.myja.pub/index.php/myja/article/view/71/38
https://doi.org/10.35119/myja.v3i1.71
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.iium.irep.113033
record_format dspace
spelling my.iium.irep.1130332024-07-09T02:32:01Z http://irep.iium.edu.my/113033/ Optimal nutritional therapy in critically ill patients: a narrative review Mat Nor, Mohd Basri RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid Inadequate nutrition delivery remains a pervasive issue in critically ill patients, with significant challenges in accurately measuring nutritional requirements and personalising nutrition. Current medical nutrition therapy is constrained by difficulty in objectively measuring nutritional requirements and patient responses. Both enteral (EN) and parenteral nutrition (PN) are effective, but achieving and assessing nutritional targets pose substantial challenges. The adoption of computerised nutrition monitoring is on the rise, with future strategies potentially incorporating advanced muscle monitoring tools such as ultrasound and bioelectrical impedance analysis (BIA). Early enteral nutrition has been shown to reduce complications and shorten ICU stays; however, it should be delayed in specific conditions such as gastrointestinal bleeding. When EN is not feasible, PN serves as a safe alternative.Indirect calorimetry (IC) offers a method to measure energy expenditure and guide nutritional interventions, though larger trials are necessary to validate its benefits in personalised nutrition strategies. Significant muscle mass loss is prevalent in ICU patients, necessitating optimal amino acid delivery. Protein intake should be tailored to lean mass rather than total body weight, and bedside techniques like BIA and muscle ultrasound can aid in personalising protein delivery. While high protein intake may help mitigate muscle loss, its effect on clinical outcomes remains debated. Further trials are essential to enhance personalised ICU nutrition and improve patient outcomes throughout their ICU and post-ICU care journey Kugler Publications 2024-06-25 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/113033/2/113033_Optimal%20nutritional%20therapy%20in%20critically%20ill%20patients.pdf Mat Nor, Mohd Basri (2024) Optimal nutritional therapy in critically ill patients: a narrative review. Malaysian Journal of Anaesthesiology, 3. pp. 42-54. ISSN 2772-9524 E-ISSN 2949-7787 https://www.myja.pub/index.php/myja/article/view/71/38 https://doi.org/10.35119/myja.v3i1.71
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
topic RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
spellingShingle RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Mat Nor, Mohd Basri
Optimal nutritional therapy in critically ill patients: a narrative review
description Inadequate nutrition delivery remains a pervasive issue in critically ill patients, with significant challenges in accurately measuring nutritional requirements and personalising nutrition. Current medical nutrition therapy is constrained by difficulty in objectively measuring nutritional requirements and patient responses. Both enteral (EN) and parenteral nutrition (PN) are effective, but achieving and assessing nutritional targets pose substantial challenges. The adoption of computerised nutrition monitoring is on the rise, with future strategies potentially incorporating advanced muscle monitoring tools such as ultrasound and bioelectrical impedance analysis (BIA). Early enteral nutrition has been shown to reduce complications and shorten ICU stays; however, it should be delayed in specific conditions such as gastrointestinal bleeding. When EN is not feasible, PN serves as a safe alternative.Indirect calorimetry (IC) offers a method to measure energy expenditure and guide nutritional interventions, though larger trials are necessary to validate its benefits in personalised nutrition strategies. Significant muscle mass loss is prevalent in ICU patients, necessitating optimal amino acid delivery. Protein intake should be tailored to lean mass rather than total body weight, and bedside techniques like BIA and muscle ultrasound can aid in personalising protein delivery. While high protein intake may help mitigate muscle loss, its effect on clinical outcomes remains debated. Further trials are essential to enhance personalised ICU nutrition and improve patient outcomes throughout their ICU and post-ICU care journey
format Article
author Mat Nor, Mohd Basri
author_facet Mat Nor, Mohd Basri
author_sort Mat Nor, Mohd Basri
title Optimal nutritional therapy in critically ill patients: a narrative review
title_short Optimal nutritional therapy in critically ill patients: a narrative review
title_full Optimal nutritional therapy in critically ill patients: a narrative review
title_fullStr Optimal nutritional therapy in critically ill patients: a narrative review
title_full_unstemmed Optimal nutritional therapy in critically ill patients: a narrative review
title_sort optimal nutritional therapy in critically ill patients: a narrative review
publisher Kugler Publications
publishDate 2024
url http://irep.iium.edu.my/113033/2/113033_Optimal%20nutritional%20therapy%20in%20critically%20ill%20patients.pdf
http://irep.iium.edu.my/113033/
https://www.myja.pub/index.php/myja/article/view/71/38
https://doi.org/10.35119/myja.v3i1.71
_version_ 1805880555466653696
score 13.211869

Similar Items