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Nutrition therapy for critically ill patients across the Asia-Pacific and Middle East Regions: a consensus statement

Sioson, Marianna S. and Martindale, Robert and Abayadeera, Anuja and Abouchaleh, Nabil and Aditianingsih, Dita and Bhurayanontachai, Rungsun and Wei-Chin, Chiou and Higashibeppu, Naoki and Mat Nor, Mohd. Basri and Osland, Emma and Palo, Jose Emmanuel and Ramakrishnan, Nagarajan and Shalabi, Medhat and Tam, Luu Ngan and Tan, Jonathan Jit Ern (2018) Nutrition therapy for critically ill patients across the Asia-Pacific and Middle East Regions: a consensus statement. Clinical Nutrition ESPEN, 24. pp. 156-164. ISSN 2405-4577

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Abstract

Background & Aims: Guidance on managing the nutritional requirements of critically ill patients in the intensive care unit (ICU) has been issued by several international bodies. While these guidelines are consulted in ICUs across the Asia Pacific and Middle East, there is little guidance available that is tailored to the unique healthcare environments and demographics across these regions. Furthermore, the lack of consistent data from randomized controlled clinical trials, reliance on expert consensus, and differing recommendations in international guidelines necessitate further expert guidance on regional best practice when providing nutrition therapy for critically ill patients in ICUs in Asia Pacific and the Middle East. Methods: The Asia-Pacific and Middle East Working Group on Nutrition in the ICU has identified major areas of uncertainty in clinical practice for healthcare professionals providing nutrition therapy in Asia Pacific and Middle East and developed a series of consensus statements to guide nutrition therapy in the ICU in these regions. Results: Accordingly, consensus statements have been provided on nutrition risk assessment and parenteral and enteral feeding strategies in the ICU, monitoring adequacy of, and tolerance to, nutrition in the ICU and institutional processes for nutrition therapy in the ICU. Furthermore, the Working Group has noted areas requiring additional research, including the most appropriate use of hypocaloric feeding in the ICU. Conclusions: The objective of the Working Group in formulating these statements is to guide healthcare professionals in practicing appropriate clinical nutrition in the ICU, with a focus on improving quality of care, which will translate into improved patient outcomes.

Item Type: Article (Journal)
Additional Information: 5608/61672
Uncontrolled Keywords: Enteral nutrition, Parenteral nutrition, Intensive care
Subjects: R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button): Kulliyyah of Medicine > Department of Anaesthesiology & Intensive Care
Depositing User: Dr. Mohd Basri Mat Nor
Date Deposited: 29 Jan 2018 10:51
Last Modified: 03 Nov 2018 16:22
URI: http://irep.iium.edu.my/id/eprint/61672

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