• Anoek Jacqueline Hubertine Hermans, Babette Irene Laarhuis, Imre Willemijn Kehinde Kouw, and van ZantenArthur Raymond HubertARHDepartment of Intensive Care Medicine, Gelderse Vallei Hospital, Ede.Wageningen University & Research, Division of Human Nutrition and Health, Wageningen, The Netherlands..
• Department of Intensive Care Medicine, Gelderse Vallei Hospital, Ede.
• Curr Opin Crit Care. 2023 Apr 1; 29 (2): 101107101-107.

Purpose Of ReviewTo summarize recent research on critical care nutrition focusing on the optimal composition, timing, and monitoring of enteral feeding strategies for (post)-ICU patients. We provide new insights on energy and protein recommendations, feeding intolerance, and describe nutritional practices for coronavirus disease 2019 ICU patients.Recent FindingsThe use of indirect calorimetry to establish individual energy requirements for ICU patients is considered the gold standard. The limited research on optimal feeding targets in the early phase of critical illness suggests avoiding overfeeding. Protein provision based upon the absolute lean body mass is rational. Therefore, body composition measurements should be considered. Body impedance analysis and muscle ultrasound seem reliable, affordable, and accessible methods to assess body composition at the bedside. There is inadequate evidence to change our practice of continuous enteral feeding into intermittent feeding. Finally, severe acute respiratory syndrome coronavirus 2 patients are prone to underfeeding due to hypermetabolism and should be closely monitored.SummaryNutritional therapy should be adapted to the patient's characteristics, diagnosis, and state of metabolism during ICU stay and convalescence. A personalized nutrition plan may prevent harmful over- or underfeeding and attenuate muscle loss. Despite novel insights, more research is warranted into tailored nutrition strategies during critical illness and convalescence.Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.

28 keywords...

hide…