Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence

Nutrition support is an integral part of care among critically ill patients. However, critically ill patients are commonly underfed, leading to consequences such as increased length of hospital and intensive care unit stay, time on mechanical ventilation, infectious complications, and mortality. Nev...

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Main Authors: Lee, Zheng Yii, Mohd Yusof, Barakatun Nisak, Ibrahim, Noor Airini, Heyland, Daren K.
Format: Article
Language:English
Published: American Society for Parenteral and Enteral Nutrition 2016
Online Access:http://psasir.upm.edu.my/id/eprint/12577/1/Enhanced%20protein-energy%20provision%20via%20the%20enteral%20route%20in%20critically%20ill%20patients%20%28PEP%20uP%20protocol%29%20a%20review%20of%20evidence.pdf
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author Lee, Zheng Yii
Mohd Yusof, Barakatun Nisak
Ibrahim, Noor Airini
Heyland, Daren K.
author_facet Lee, Zheng Yii
Mohd Yusof, Barakatun Nisak
Ibrahim, Noor Airini
Heyland, Daren K.
author_sort Lee, Zheng Yii
collection UPM
description Nutrition support is an integral part of care among critically ill patients. However, critically ill patients are commonly underfed, leading to consequences such as increased length of hospital and intensive care unit stay, time on mechanical ventilation, infectious complications, and mortality. Nevertheless, the prevalence of underfeeding has not resolved since the first description of this problem more than 15 years ago. This may be due to the traditional conservative feeding approaches. A novel feeding protocol (the Enhanced Protein-Energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients [PEP uP] protocol) was proposed and proven to improve feeding adequacy significantly. However, some of the components in the protocol are controversial and subject to debate. This article is a review of the supporting evidences and some of the controversy associated with each component of the PEP uP protocol.
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spelling upm.eprints-125772016-06-08T01:33:56Z http://psasir.upm.edu.my/id/eprint/12577/ Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence Lee, Zheng Yii Mohd Yusof, Barakatun Nisak Ibrahim, Noor Airini Heyland, Daren K. Nutrition support is an integral part of care among critically ill patients. However, critically ill patients are commonly underfed, leading to consequences such as increased length of hospital and intensive care unit stay, time on mechanical ventilation, infectious complications, and mortality. Nevertheless, the prevalence of underfeeding has not resolved since the first description of this problem more than 15 years ago. This may be due to the traditional conservative feeding approaches. A novel feeding protocol (the Enhanced Protein-Energy Provision via the Enteral Route Feeding Protocol in Critically Ill Patients [PEP uP] protocol) was proposed and proven to improve feeding adequacy significantly. However, some of the components in the protocol are controversial and subject to debate. This article is a review of the supporting evidences and some of the controversy associated with each component of the PEP uP protocol. American Society for Parenteral and Enteral Nutrition 2016 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/12577/1/Enhanced%20protein-energy%20provision%20via%20the%20enteral%20route%20in%20critically%20ill%20patients%20%28PEP%20uP%20protocol%29%20a%20review%20of%20evidence.pdf Lee, Zheng Yii and Mohd Yusof, Barakatun Nisak and Ibrahim, Noor Airini and Heyland, Daren K. (2016) Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence. Nutrition in Clinical Practice, 31 (1). pp. 68-79. ISSN 0884-5336; ESSN: 1941-2452 http://ncp.sagepub.com/content/31/1/68.abstract 10.1177/0884533615601638
spellingShingle Lee, Zheng Yii
Mohd Yusof, Barakatun Nisak
Ibrahim, Noor Airini
Heyland, Daren K.
Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title_full Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title_fullStr Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title_full_unstemmed Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title_short Enhanced protein-energy provision via the enteral route in critically ill patients (PEP uP protocol): a review of evidence
title_sort enhanced protein energy provision via the enteral route in critically ill patients pep up protocol a review of evidence
url http://psasir.upm.edu.my/id/eprint/12577/1/Enhanced%20protein-energy%20provision%20via%20the%20enteral%20route%20in%20critically%20ill%20patients%20%28PEP%20uP%20protocol%29%20a%20review%20of%20evidence.pdf
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