Critical Care Nutrition - Nutrition CPGs

Clinical Practice Guideline Downloads

The Clinical Practice Guidelines are a set of 209 randomized controlled trials in the area of critical care nutrition. The studies have undergone a formal review process to provide the latest and best evidence for clinical practice in the various areas of critical care nutrition. All the guideline topics have undergone a formal review process and were last updated in January 2009 and May 2009 (as indicated in red). The 2009 update added 40 new randomized controlled trials to the evidence-based guidelines.

List of All included randomized controlled trials (n= 209): pdf

Published version of the Clinical Practice Guidelines: pdf

Protocol: Development of Clinical Guidelines for Nutrition Support in Adult Critically Ill Patients: pdf

Summary of Recommendations: pdf

Table of Contents

Topics (Date of current version January 2009, May 2009)

The use of EN vs PN pdf
Early vs Delayed Nutrient Intake pdf
Nutritional prescription (dose) of EN
1. Use of indirect calorimetry vs. predictive equation pdf
2. Achieving target dose of enteral nutrition pdf
Composition of EN
1. Immune enhancing Diets
  1. Arginine Containing pdf
  2. Fish oils pdf
  3. Glutamine pdf
  4. Ornithine Ketoglutarate (OKG) pdf
2. Carbohydrate / Fat
  1. High fat / low carbohydrate pdf
  2. Low fat / high carbohydrate pdf
  3. High Protein vs. Low Protein pdf
3. Protein / peptides pdf
4. pH pdf
5. Fibre pdf
Strategies to optimize delivery and minimize risks of EN
1. Use of feeding protocols pdf
2. Motility agents pdf
3. Small bowel vs. gastric feedings pdf
4. Body position pdf
EN: Other
1. Closed vs. Open system pdf
2. Prebiotics/Probiotics/Synbiotics pdf - (May 2009)
3. Continuous vs. other methods of administration pdf
4. Gastrostomy vs nasogastric feeding pdf
Enteral nutrition in combination with PN pdf
Use of PN vs. standard care alone in patients with an intact GI tract pdf
Composition of PN
1. Branched chain amino acids pdf
2. Type of lipids pdf - (May 2009)
3. Zinc pdf - (May 2009)
4. Glutamine pdf
Strategies to optimize benefits and minimize risks of PN
1. Dose of PN pdf
2. Use of lipids pdf
3. Mode of lipid delivery pdf
4. Intensive insulin therapy pdf (May 2009)
Supplemental Antioxidant Nutrients
1. Combined vitamins and trace elements pdf
2. Parenteral Selenium pdf