10.3205/000073
Kreymann, G.
G.
Kreymann
Adolph, M.
M.
Adolph
Druml, W.
W.
Druml
Jauch, K. W.
K. W.
Jauch
Working Group For Developing The Guidelines For Parenteral Nutrition Of The German Association For Nutritional Medicine
Intensive medicine – Guidelines on Parenteral Nutrition, Chapter 14
German Medical Science GMS Publishing House
2009
JournalArticle
substrate supply
critically ill
sepsis
intensive care
610 Medical sciences; Medicine
2009-11-18
2009
en
urn:nbn:de:0183-0000734
000073
text/html
GMS German Medical Science; 7:Doc14; ISSN 1612-3174
In intensive care patients parenteral nutrition (PN) should not be carried out when adequate oral or enteral nutrition is possible. Critically ill patients without symptoms of malnutrition, who probably cannot be adequately nourished enterally for a period of <5 days, do not require full PN but should be given at least a basal supply of glucose. Critically ill patients should be nourished parenterally from the beginning of intensive care if they are unlikely to be adequately nourished orally or enterally even after 5–7 days. Critically ill and malnourished patients should, in addition to a possible partial enteral nutrition, be nourished parenterally. Energy supply should not be constant, but should be adapted to the stage, the disease has reached. Hyperalimentation should be avoided at an acute stage of disease in any case. Critically ill patients should be given, as PN, a mixture consisting of amino acids (between 0.8 and 1.5 g/kg/day), carbohydrates (around 60% of the non-protein energy) and fat (around 40% of the non-protein energy) as well as electrolytes and micronutrients.
GMS German Medical Science; 7:Doc14; ISSN 1612-3174