DGEM-Leitlinie: Klinische Ernährung in der Intensivmedizin – Kurzversion
Standard
DGEM-Leitlinie: Klinische Ernährung in der Intensivmedizin – Kurzversion. / Elke, Gunnar; Hartl, Wolfgang H; Kreymann, K Georg; Adolph, Michael; Felbinger, Thomas W; Graf, Tobias; de Heer, Geraldine; Heller, Axel R; Kampa, Ulrich; Mayer, Konstantin; Muhl, Elke; Niemann, Bernd; Rümelin, Andreas; Steiner, Stephan; Stoppe, Christian; Weimann, Arved; Bischoff, Stephan C.
in: ANASTH INTENSIV NOTF, Jahrgang 54, Nr. 1, 01.2019, S. 63-73.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › Andere (Vorworte u.ä.) › Forschung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - DGEM-Leitlinie: Klinische Ernährung in der Intensivmedizin – Kurzversion
AU - Elke, Gunnar
AU - Hartl, Wolfgang H
AU - Kreymann, K Georg
AU - Adolph, Michael
AU - Felbinger, Thomas W
AU - Graf, Tobias
AU - de Heer, Geraldine
AU - Heller, Axel R
AU - Kampa, Ulrich
AU - Mayer, Konstantin
AU - Muhl, Elke
AU - Niemann, Bernd
AU - Rümelin, Andreas
AU - Steiner, Stephan
AU - Stoppe, Christian
AU - Weimann, Arved
AU - Bischoff, Stephan C
N1 - Empfehlungen/Leitlinien
PY - 2019/1
Y1 - 2019/1
N2 - PURPOSE: Variations of clinical nutrition may affect outcome of critically ill patients. Here we present the short version of the updated consenus-based guideline (S2k classification) "Clinical nutrition in critical care medicine" of the German Society for Nutritional Medicine (DGEM) in cooperation with 7 other national societies. The target population of the guideline was defined as critically ill adult patients who suffer from at least one acute organ dysfunction requiring specific drug therapy and/or a mechanical support device (e.g. mechanical ventilation) to maintain organ function.METHODS: The former guidelines of the German Society for Nutritional Medicine (DGEM) were updated according to the current instructions of the Association of the Scientific Medical Societies in Germany (AWMF) valid for a S2k-guideline. We considered and commented the evidence from randomized-controlled trials, meta-analyses and observational studies with adequate sample size and high methodological quality (until May 2018) as well as from currently valid guidelines of international societies. The liability of each recommendation was indicated using linguistic terms. Each recommendation was finally validated and consented by a Delphi process.RESULTS: The short version presents a summary of all 69 consented recommendations for essential, practice-relevant elements of clinical nutrition in the target population. A specific focus is the adjustment of nutrition according to the phases of critical illness, and to the individual tolerance to exogenous substrates. Among others, recommendations include the assessment of nutritional status, the indication for clinical nutrition, the timing, route, magnitude and composition of nutrition (macro- and micronutrients) as well as distinctive aspects of nutrition therapy in obese critically ill patients and those with extracorporeal support devices.CONCLUSION: The current short version of the guideline provides a concise summary of the updated recommendations for enteral and parenteral nutrition of adult critically ill patients who suffer from at least one acute organ dysfunction requiring pharmacological and/or mechanical support. The validity of the guideline is approximately fixed at five years (2018 - 2023).
AB - PURPOSE: Variations of clinical nutrition may affect outcome of critically ill patients. Here we present the short version of the updated consenus-based guideline (S2k classification) "Clinical nutrition in critical care medicine" of the German Society for Nutritional Medicine (DGEM) in cooperation with 7 other national societies. The target population of the guideline was defined as critically ill adult patients who suffer from at least one acute organ dysfunction requiring specific drug therapy and/or a mechanical support device (e.g. mechanical ventilation) to maintain organ function.METHODS: The former guidelines of the German Society for Nutritional Medicine (DGEM) were updated according to the current instructions of the Association of the Scientific Medical Societies in Germany (AWMF) valid for a S2k-guideline. We considered and commented the evidence from randomized-controlled trials, meta-analyses and observational studies with adequate sample size and high methodological quality (until May 2018) as well as from currently valid guidelines of international societies. The liability of each recommendation was indicated using linguistic terms. Each recommendation was finally validated and consented by a Delphi process.RESULTS: The short version presents a summary of all 69 consented recommendations for essential, practice-relevant elements of clinical nutrition in the target population. A specific focus is the adjustment of nutrition according to the phases of critical illness, and to the individual tolerance to exogenous substrates. Among others, recommendations include the assessment of nutritional status, the indication for clinical nutrition, the timing, route, magnitude and composition of nutrition (macro- and micronutrients) as well as distinctive aspects of nutrition therapy in obese critically ill patients and those with extracorporeal support devices.CONCLUSION: The current short version of the guideline provides a concise summary of the updated recommendations for enteral and parenteral nutrition of adult critically ill patients who suffer from at least one acute organ dysfunction requiring pharmacological and/or mechanical support. The validity of the guideline is approximately fixed at five years (2018 - 2023).
KW - English Abstract
KW - Journal Article
KW - Critical Care/standards
KW - Enteral Nutrition
KW - Evidence-Based Medicine
KW - Germany
KW - Guidelines as Topic
KW - Humans
KW - Nutrition Therapy/standards
KW - Nutritional Support
KW - Parenteral Nutrition
U2 - 10.1055/a-0805-4118
DO - 10.1055/a-0805-4118
M3 - Andere (Vorworte u.ä.)
C2 - 30620956
VL - 54
SP - 63
EP - 73
JO - ANASTH INTENSIV NOTF
JF - ANASTH INTENSIV NOTF
SN - 0939-2661
IS - 1
ER -