Jean Reignier, Benedicte Gaillard-Le Roux, Pierre François Dequin, Valeria A Bertoni Maluf, Julien Bohe, Michael P Casaer, Agathe Delbove, Claire Dupuis, Eric Fontaine, Prescillia Gamon, Coralie Grange, Nicholas Heming, Melissa Jezequel, Adam Jirka, Corinne Jotterand Chaparro, Michael Landais, Nolwenn Letouze, Claire Morice, Olivier Pantet, Julie Pellecer, Gael Piton, Shancy Rooze, Julie Starck, Jean-Marc Tadie, Fabienne Tamion, Ronan Thibault, Frédéric Valla, Thierry Vanderlinden, Arnaud W Thille, Nadia Aissaoui
{"title":"基于专家共识的重症监护室营养支持临床实践指南:法国重症监护学会(SRLF)和法语儿科急诊医师和重症医师小组(GFRUP)。","authors":"Jean Reignier, Benedicte Gaillard-Le Roux, Pierre François Dequin, Valeria A Bertoni Maluf, Julien Bohe, Michael P Casaer, Agathe Delbove, Claire Dupuis, Eric Fontaine, Prescillia Gamon, Coralie Grange, Nicholas Heming, Melissa Jezequel, Adam Jirka, Corinne Jotterand Chaparro, Michael Landais, Nolwenn Letouze, Claire Morice, Olivier Pantet, Julie Pellecer, Gael Piton, Shancy Rooze, Julie Starck, Jean-Marc Tadie, Fabienne Tamion, Ronan Thibault, Frédéric Valla, Thierry Vanderlinden, Arnaud W Thille, Nadia Aissaoui","doi":"10.1186/s13613-025-01509-0","DOIUrl":null,"url":null,"abstract":"<p><p>The objective of this work was to develop guidelines for nutritional support in critically ill adults and children (excluding neonates and burn patients) unable to maintain an adequate oral intake. We aimed to provide up-to-date recommendations based on high-level evidence including the results of recent landmark randomized controlled trials. Experts from the French Intensive Care Society (SRLF), the French Society of Clinical Nutrition and Metabolism (SFNCM), and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP) used the GRADE methodology to develop the guidelines. Twenty-four Patient Intervention Comparator Outcome (PICO) questions were identified, resulting in 34 adult and 29 pediatric recommendations. Of the 34 recommendations for adults, three were based on high-level evidence, 12 on moderate-level evidence, and 19 on expert opinion. The corresponding numbers for the 29 pediatric recommendations were one, five, and 23. All recommendations achieved strong agreement among the experts. These guidelines emphasize the importance of individualized nutritional support strategies that incorporate recent high-quality evidence to optimize the outcomes of critically ill patients.</p>","PeriodicalId":7966,"journal":{"name":"Annals of Intensive Care","volume":"15 1","pages":"99"},"PeriodicalIF":5.5000,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12263543/pdf/","citationCount":"0","resultStr":"{\"title\":\"Expert consensus‑based clinical practice guidelines for nutritional support in the intensive care unit: the French Intensive Care Society (SRLF) and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP).\",\"authors\":\"Jean Reignier, Benedicte Gaillard-Le Roux, Pierre François Dequin, Valeria A Bertoni Maluf, Julien Bohe, Michael P Casaer, Agathe Delbove, Claire Dupuis, Eric Fontaine, Prescillia Gamon, Coralie Grange, Nicholas Heming, Melissa Jezequel, Adam Jirka, Corinne Jotterand Chaparro, Michael Landais, Nolwenn Letouze, Claire Morice, Olivier Pantet, Julie Pellecer, Gael Piton, Shancy Rooze, Julie Starck, Jean-Marc Tadie, Fabienne Tamion, Ronan Thibault, Frédéric Valla, Thierry Vanderlinden, Arnaud W Thille, Nadia Aissaoui\",\"doi\":\"10.1186/s13613-025-01509-0\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The objective of this work was to develop guidelines for nutritional support in critically ill adults and children (excluding neonates and burn patients) unable to maintain an adequate oral intake. 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Expert consensus‑based clinical practice guidelines for nutritional support in the intensive care unit: the French Intensive Care Society (SRLF) and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP).
The objective of this work was to develop guidelines for nutritional support in critically ill adults and children (excluding neonates and burn patients) unable to maintain an adequate oral intake. We aimed to provide up-to-date recommendations based on high-level evidence including the results of recent landmark randomized controlled trials. Experts from the French Intensive Care Society (SRLF), the French Society of Clinical Nutrition and Metabolism (SFNCM), and the French-Speaking Group of Pediatric Emergency Physicians and Intensivists (GFRUP) used the GRADE methodology to develop the guidelines. Twenty-four Patient Intervention Comparator Outcome (PICO) questions were identified, resulting in 34 adult and 29 pediatric recommendations. Of the 34 recommendations for adults, three were based on high-level evidence, 12 on moderate-level evidence, and 19 on expert opinion. The corresponding numbers for the 29 pediatric recommendations were one, five, and 23. All recommendations achieved strong agreement among the experts. These guidelines emphasize the importance of individualized nutritional support strategies that incorporate recent high-quality evidence to optimize the outcomes of critically ill patients.
期刊介绍:
Annals of Intensive Care is an online peer-reviewed journal that publishes high-quality review articles and original research papers in the field of intensive care medicine. It targets critical care providers including attending physicians, fellows, residents, nurses, and physiotherapists, who aim to enhance their knowledge and provide optimal care for their patients. The journal's articles are included in various prestigious databases such as CAS, Current contents, DOAJ, Embase, Journal Citation Reports/Science Edition, OCLC, PubMed, PubMed Central, Science Citation Index Expanded, SCOPUS, and Summon by Serial Solutions.