Scientific article

ESPEN guideline on clinical nutrition in the intensive care unit

Published inClinical Nutrition, vol. 38, no. 1, p. 48-79
Publication date2019

Following the new ESPEN Standard Operating Procedures, the previous guidelines to provide best medical nutritional therapy to critically ill patients have been updated. These guidelines define who are the patients at risk, how to assess nutritional status of an ICU patient, how to define the amount of energy to provide, the route to choose and how to adapt according to various clinical conditions. When to start and how to progress in the administration of adequate provision of nutrients is also described. The best determination of amount and nature of carbohydrates, fat and protein are suggested. Special attention is given to glutamine and omega-3 fatty acids. Particular conditions frequently observed in intensive care such as patients with dysphagia, frail patients, multiple trauma patients, abdominal surgery, sepsis, and obesity are discussed to guide the practitioner toward the best evidence based therapy. Monitoring of this nutritional therapy is discussed in a separate document.

  • Intensive care
  • Nutrition
  • Enteral
  • Parenteral
  • Guidelines
Citation (ISO format)
SINGER, Pierre et al. ESPEN guideline on clinical nutrition in the intensive care unit. In: Clinical Nutrition, 2019, vol. 38, n° 1, p. 48–79. doi: 10.1016/j.clnu.2018.08.037
Main files (1)
Article (Published version)
Secondary files (2)
ISSN of the journal0261-5614

Technical informations

Creation07/27/2021 3:13:00 PM
First validation07/27/2021 3:13:00 PM
Update time03/16/2023 2:10:28 AM
Status update03/16/2023 2:10:26 AM
Last indexation01/17/2024 3:38:40 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack