Special Topics: Nutritional Management of Critically Ill Patients
Summary of the best evidence for the implementation and management of parenteral nutrition in critically ill patients
Chen Yuqian, Yang Na, Tang Jing, Wen Shuhua, Lyu Lulu
Published 2023-09-26
Cite as Chin J Mod Nurs, 2023, 29(27): 3645-3650. DOI: 10.3760/cma.j.cn115682-20221114-05506
Abstract
ObjectiveTo systematically search and summarize the best evidence for the implementation and management of parenteral nutrition in critically ill patients.
MethodsBased on the evidence-based medicine evidence structure, relevant evidence on the implementation and management of parenteral nutrition in critically ill patients was searched from top to bottom in Chinese and English databases such as China National Knowledge Infrastructure (CNKI) , VIP, British Medical Journal (BMJ) Best Practice, UpToDate and so on. The search period was from January 1, 2017 to July 31, 2022. Using the quality level of evidence and grade of recommendation system of the Joanna Briggs Institute (JBI) Evidence-Based Health Care Center in Australia, two researchers conducted literature quality evaluation and evidence summary.
ResultsA total of 19 articles were included, including 2 clinical decisions, 3 clinical practice guidelines, 11 expert consensuses, 2 systematic reviews, and 1 retrospective case-control study. A total of 9 themes were summarized, including the establishment of a multidisciplinary team, indications for parenteral nutrition, nutritional assessment, parenteral nutrition start time, parenteral nutrition stop time, selection and evaluation of vascular pathways, selection of infusion devices, observation of infusion processes and complications, with a total of 29 best evidences.
ConclusionsThe safe implementation and management of parenteral nutrition support for critically ill patients is of great significance for improving patient health outcomes. Medical and nursing staff should establish a standardized evidence-based parenteral nutrition support process to improve the safety of parenteral nutrition implementation in critically ill patients.
Key words:
Parenteral nutrition; Critically ill patients; Evidence summary; Evidence-based nursing
Contributor Information
Chen Yuqian
Surgical Intensive Care Unit, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Yang Na
Surgical Intensive Care Unit, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Tang Jing
Intervention Therapy Department, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Wen Shuhua
Surgical Intensive Care Unit, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
Lyu Lulu
Surgical Intensive Care Unit, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China
