2026-04-13T13:43:31Zhttps://recercat.cat/oai/request

oai:recercat.cat:11351/84532025-10-24T10:35:25Zcom_2072_378070com_2072_378040col_2072_378092

2025-10-24T10:35:25Z urn:hdl:11351/8453 Clinical nutrition issues in 2022: What is missing to trust supplemental parenteral nutrition (SPN) in ICU patients? Berger, Mette M. Casaer, Michael P. De Robertis, Edoardo Fraipont, Vincent Burgos Peláez, Rosa Lopez-Delgado, Juan Carlos Unitats de cures intensives Malalts en estat crític Nutrició parenteral ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Therapeutics::Feeding Methods::Parenteral Nutrition DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Disease Attributes::Critical Illness Other subheadings::Other subheadings::/therapy HEALTH CARE::Health Care Facilities, Manpower, and Services::Health Facilities::Hospital Units::Intensive Care Units TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::terapéutica::métodos de alimentación::nutrición parenteral ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::atributos de la enfermedad::enfermedad crítica Otros calificadores::Otros calificadores::/terapia ATENCIÓN DE SALUD::instalaciones, servicios y personal de asistencia sanitaria::centros sanitarios::unidades hospitalarias::unidades de cuidados intensivos Clinical nutrition; Intensive care unit; Nutrition care Nutrició clínica; Unitat de cures intensives; Cura de la nutrició Nutrición Clínica; Unidad de cuidados intensivos; Cuidado de la nutrición A multidisciplinary group of international physicians involved in the medical nutrition therapy (MNT) of adult critically ill patients met to discuss the value, role, and open questions regarding supplemental parenteral nutrition (SPN) along with oral or enteral nutrition (EN), particularly in the intensive care unit (ICU) setting. This manuscript summarizes the discussions and results to highlight the importance of SPN as part of a comprehensive approach to MNT in critically ill adults and for researchers to generate new evidence based on well-powered randomized controlled trials (RCTs). The experts agreed on several key points: SPN has shown clinical benefits, resulting in this strategy being included in American and European guidelines. Nevertheless, its use is heterogeneous across European countries, due to the persistence of uncertainties, such as the optimal timing and the risk of overfeeding in absence of indirect calorimetry (IC), which results in divergent opinions and barriers to SPN implementation. Education is also insufficient. The experts agreed on actions needed to increase evidence quality on SPN use in specific patients at a given time point during acute critical illness or recovery. The organization of the Virtual Meeting that motivated this publication was funded by Baxter Healthcare SA. The authors received no financial support for the research, authorship, and/or publication of this article. MPC receives funding from the Research Foundation Flanders (FWO) (Grant No. 1832817N) and Onderzoeksraad, KU Leuven (Grant No. C24/17/070) and from the Private Charity Organization “Help Brandwonden Kids. 2025-10-24T10:35:25Z 2025-10-24T10:35:25Z 2022-11-11T12:56:09Z 2022-11-11T12:56:09Z 2022-09-10 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://hdl.handle.net/11351/8453 Critical Care;26 https://doi.org/10.1186/s13054-022-04157-z Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ info:eu-repo/semantics/openAccess BMC Scientia